Provider Demographics
NPI:1588749998
Name:CURTIS, COLETTE MARIE (MD)
Entity type:Individual
Prefix:MS
First Name:COLETTE
Middle Name:MARIE
Last Name:CURTIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1364 CLIFTON RD
Mailing Address - Street 2:DEPT OF ANESTHESIA
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322
Mailing Address - Country:US
Mailing Address - Phone:404-778-5582
Mailing Address - Fax:404-778-4969
Practice Address - Street 1:1364 CLIFTON RD
Practice Address - Street 2:DEPT OF ANESTHESIA EMORY UNIVERSITY HOSPITAL
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322
Practice Address - Country:US
Practice Address - Phone:404-778-5582
Practice Address - Fax:404-778-4969
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA04065207L00000X
GA055553207L00000X
GA55553207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA439587054BMedicaid
GA05BDKMBMedicare ID - Type Unspecified
H04065Medicare UPIN