Individual
CRISTINA ELSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
740 PRINCE AVE STE 3, ATHENS, GA 30606-5903
(706) 548-4272
(706) 548-9181
Mailing address
5780 PEACHTREE DUNWOODY RD STE 300, ATLANTA, GA 30342-1513
(706) 548-4272
(706) 548-9181
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
080441
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300034164A
—
GA
01
—
GRP3569
MEDICARE
GA
Enumeration date
03/24/2014
Last updated
06/26/2018
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