Provider Demographics
NPI:1417984766
Name:GELTZ, CHRISTIAN DONALD (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:DONALD
Last Name:GELTZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 N DECATUR RD
Mailing Address - Street 2:SUITE 190
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-5949
Mailing Address - Country:US
Mailing Address - Phone:404-299-9307
Mailing Address - Fax:404-299-9309
Practice Address - Street 1:2801 N DECATUR RD
Practice Address - Street 2:SUITE 190
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-5949
Practice Address - Country:US
Practice Address - Phone:404-299-9307
Practice Address - Fax:404-299-9309
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA023963207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00243273AMedicaid
GA160044318OtherRAILROAD MEDICARE
GA5748105OtherAETNA/USHC
GA000243273EMedicaid
GA000243273DMedicaid
GA2083742OtherAETNA/USHC
GA0702069OtherUNITED HEALTHCARE
GA000243273FMedicaid
GA202246OtherBLUE CROSS BLUE SHIELD
GA000243273DMedicaid
GA16BDSTKMedicare ID - Type Unspecified