Provider Demographics
NPI:1023022761
Name:LAW, CHRISTINE MAY-LIN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:MAY-LIN
Last Name:LAW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:371 E PACES FERRY RD NE
Mailing Address - Street 2:STE 900
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-2372
Mailing Address - Country:US
Mailing Address - Phone:404-355-1919
Mailing Address - Fax:404-352-5669
Practice Address - Street 1:371 E PACES FERRY RD NE
Practice Address - Street 2:STE 900
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-2372
Practice Address - Country:US
Practice Address - Phone:404-355-1919
Practice Address - Fax:404-352-5669
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA054766174400000X
GA54766174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
160478Medicare UPIN