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Individual

CHRISTINA MARIE YADAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5440 HILLANDALE DRIVE, KAISER PERMANENTE PANOLA MEDICAL OFFICE, LITHONIA, GA 30058
(770) 322-2712
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 364-7070

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
063553
GA
208000000X
Pediatrics Physician
2003012665
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1201961
UHC
MS
01
190566
BCBS
MO
01
216125
GHP
MO
01
431383893YAD
MERCY
MO
01
50312V3431
HEALTHCARE USA
MO
01
663444
HEALTHLINK
MO
01
7446562
AETNA
MO
Enumeration date
11/16/2005
Last updated
04/07/2010
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