Provider Demographics
NPI:1770674152
Name:SILVERA-SCHWARTZ, AIXA I (MD)
Entity Type:Individual
Prefix:DR
First Name:AIXA
Middle Name:I
Last Name:SILVERA-SCHWARTZ
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 1:562 CONCORD RD SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30082-2608
Mailing Address - Country:US
Mailing Address - Phone:770-384-9900
Mailing Address - Fax:770-384-9912
Practice Address - Street 1:562 CONCORD ROAD SE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30082
Practice Address - Country:US
Practice Address - Phone:770-384-9900
Practice Address - Fax:770-384-9912
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA058587208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
H51447Medicare UPIN