Provider Demographics
NPI:1205107620
Name:BRINKER, KRYSTIN A (PA-C)
Entity type:Individual
Prefix:MS
First Name:KRYSTIN
Middle Name:A
Last Name:BRINKER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:3131 MAPLE DR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-2515
Mailing Address - Country:US
Mailing Address - Phone:404-841-8450
Mailing Address - Fax:404-841-8453
Practice Address - Street 1:3131 MAPLE DR NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-2515
Practice Address - Country:US
Practice Address - Phone:404-841-8450
Practice Address - Fax:404-841-8453
Is Sole Proprietor?:No
Enumeration Date:2012-01-17
Last Update Date:2018-04-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA006350363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical