Individual
KRISTA MCEWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1175 CASCADE PKWY SW, ATLANTA, GA 30311-3090
(404) 365-0966
Mailing address
3495 PIEDMONT RD NE, ATLANTA, GA 30305-1717
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125.077925
IL
207Q00000X
Family Medicine Physician
Primary
125077925
IL
Other
Enumeration date
05/13/2021
Last updated
02/03/2025
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