Provider Demographics
NPI:1215955018
Name:KO, CHRISTIN H (MD)
Entity type:Individual
Prefix:
First Name:CHRISTIN
Middle Name:H
Last Name:KO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6325 W JOHNS XING
Mailing Address - Street 2:EMORY JOHNS CREEK HOSPITAL - HOSPITAL MEDICINE DEPT
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-1530
Mailing Address - Country:US
Mailing Address - Phone:404-778-6382
Mailing Address - Fax:404-778-5495
Practice Address - Street 1:6325 W JOHNS XING
Practice Address - Street 2:EMORY JOHNS CREEK HOSPITAL - HOSPITAL MEDICINE DEPT
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-1530
Practice Address - Country:US
Practice Address - Phone:404-778-6382
Practice Address - Fax:404-778-5495
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2017-05-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL037257208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAF68262Medicare UPIN