Provider Demographics
NPI:1851886717
Name:ANASTASIADES, CHRISTINA LEAH (MPAS)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:LEAH
Last Name:ANASTASIADES
Suffix:
Gender:F
Credentials:MPAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1082 SPRINGDALE RD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30306-2654
Mailing Address - Country:US
Mailing Address - Phone:678-640-4258
Mailing Address - Fax:
Practice Address - Street 1:1082 SPRINGDALE RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30306-2654
Practice Address - Country:US
Practice Address - Phone:678-640-4258
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-24
Last Update Date:2018-06-24
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant