Provider Demographics
NPI:1689015638
Name:ROWE, KRYSTINA ASHLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:KRYSTINA
Middle Name:ASHLEY
Last Name:ROWE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:805 SANDY PLAINS RD
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-6340
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2850 PACES FERRY RD SE STE 460-470
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339
Practice Address - Country:US
Practice Address - Phone:678-556-4950
Practice Address - Fax:678-556-4951
Is Sole Proprietor?:No
Enumeration Date:2013-07-07
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA6688207Q00000X
GA76156207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine