Provider Demographics
NPI:1477590867
Name:NOYES, CHRISTINA DITHMER (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:DITHMER
Last Name:NOYES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:CHRISTINA
Other - Middle Name:LICUANAN
Other - Last Name:DITHMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3410 HIGHCROFT CIR
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-4950
Mailing Address - Country:US
Mailing Address - Phone:770-734-4476
Mailing Address - Fax:
Practice Address - Street 1:550 PEACHTREE ST NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2208
Practice Address - Country:US
Practice Address - Phone:404-686-2316
Practice Address - Fax:404-686-4949
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200301507207L00000X
GA58542207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology