Provider Demographics
NPI:1215017389
Name:PLATON, ANA MARIA (MD)
Entity Type:Individual
Prefix:
First Name:ANA MARIA
Middle Name:
Last Name:PLATON
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:PO BOX 550528
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30355-3028
Mailing Address - Country:US
Mailing Address - Phone:770-507-6995
Mailing Address - Fax:770-507-8252
Practice Address - Street 1:1506 ROCK QUARRY RD
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-5047
Practice Address - Country:US
Practice Address - Phone:770-507-6995
Practice Address - Fax:770-507-8252
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA047823207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000954797EMedicaid
GAP001525577OtherRR MCR
GA5284125402OtherBCBSGA IND. PROV. NUM
GAH62806Medicare UPIN
GA000954797EMedicaid