Individual
DR. KRISTINA MARIE ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1600 CLIFTON RD NE, MAILBOX E03, ATLANTA, GA 30329-4018
(404) 718-4876
Mailing address
1600 CLIFTON RD NE, MAILBOX E03, ATLANTA, GA 30329-4018
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A10901
CA
207RI0200X
Infectious Disease Physician
Primary
072696
GA
207RI0200X
Infectious Disease Physician
DO.000254
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2147170
—
LA
Enumeration date
09/08/2009
Last updated
07/11/2016
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