Provider Demographics
NPI:1437212644
Name:CATALANO, CHRISTA LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTA
Middle Name:LYNN
Last Name:CATALANO
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 1:515 MCKINNES PARK
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-4085
Mailing Address - Country:US
Mailing Address - Phone:706-210-7776
Mailing Address - Fax:
Practice Address - Street 1:515 MCKINNES PARK
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-4085
Practice Address - Country:US
Practice Address - Phone:706-210-7776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0584462085R0202X
DCMD0355702085R0202X
SC283252085R0202X
MA10171842085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology