MEDICARE: CHRISTINA M DELGAUDIO PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	1566	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568661114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA M DELGAUDIO PA-C

Provider Business Mailing Address
First Line	:	95 COLLIER RD NW STE 5015
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-1721
Country	:	US
Telephone Number	:	404-351-9741
Fax Number	:	404-351-1945

Provider Business Practice Location Address
First Line	:	3280 HOWELL MILL RD NW STE 243
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30327-4100
Country	:	US
Telephone Number	:	404-435-0718
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2007
Last Update Date	:	09/30/2025

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