Provider Demographics
NPI:1447767504
Name:DEEB, KRISTIN K (PHD)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:K
Last Name:DEEB
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:EMORY UNIVERSITY HOSPITAL SUITE N251
Mailing Address - Street 2:1364 CLIFTON RD NE
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-1059
Mailing Address - Country:US
Mailing Address - Phone:404-778-8501
Mailing Address - Fax:404-712-8876
Practice Address - Street 1:1364 CLIFTON RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1059
Practice Address - Country:US
Practice Address - Phone:404-778-8501
Practice Address - Fax:404-712-8876
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-10
Last Update Date:2018-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA17029RE246QH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QH0000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyHematology