CORINNE RENEE FANTZ (NPI# 1659470094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659470094 |
| Entity Type | Individual |
| Full Name | CORINNE RENEE FANTZ |
| Credential | PHD |
| Practice Address |
550 Peachtree St Ne Crawford Long Hospital, Davis Fischer Bldg Atlanta GA 30308-2247 |
| Practice Telephone | 4046861913 |
| Practice Fax Number | 4047124780 |
| Mailing Telephone | 4046861913 |
| Mailing Fax Number | 4047124780 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246QC1000X |
Spec/Tech, Pathology Specialization: Chemistry |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
550 PEACHTREE ST NE CRAWFORD LONG HOSPITAL, DAVIS FISCHER BLDG |
| City | ATLANTA |
| State | GA |
| Zip Code | 30308-2247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871599332 | Merry Ellen Sebelik | Otolaryngology | 550 Peachtree St Ne, Suite 1135, Atlanta, GA 30308-2212 | 2005-06-21 |
| 1275131393 | Anna Weaver | Registered Nurse | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-10-12 |
| 1629688320 | Shelby Elizabeth Murphy | Anesthesiologist Assistant | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-08-06 |
| 1508476755 | Ijeabalum Ibezue | Anesthesiologist Assistant | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-08-03 |
| 1376152744 | Jennifer Mcclure | Anesthesiologist Assistant | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-07-30 |
| 1831715234 | Ziluo Jaiah | Technician | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-06-22 |
| 1568088383 | Tonika J Swint | Nurse Practitioner | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-06-17 |
| 1780204701 | Ethan Emory Perkins | Nurse Practitioner | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-04-20 |
| 1851920185 | Alexandrea Hyunjee Kim | Student in an Organized Health Care Education/Training Program | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-04-07 |
| 1467081075 | Uyen Hong Tran | Physician Assistant | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285165 | Grace Mckinnon Cutchin | Speech-Language Pathologist | 550 Peachtree St. Ne, 9th Floor, Suite 4400, Atlanta, GA 30308 | 2020-08-10 |
| 1063033942 | Life University | Chiropractor | 1 Baltimore P1. Nw, Suite 100, Atlanta, GA 30308 | 2020-05-01 |
| 1184254591 | Jordan Cohen | Specialist | 1075 Peachtree Rd, Suite 300, Atlanta, GA 30308 | 2020-01-24 |
| 1104463819 | Gary Sydney Koech IIi | Registered Nurse | Emory Midtown- Davis Fischer Bld 3rd Floor, Rm 3245a, 550 Peachtree Street, N.e., Atlanta, GA 30308 | 2019-12-02 |
| 1639728207 | Shannon Oliver Sullivan | Counselor | 1 Baltimore Pl Nw, Suite 360, Atlanta, GA 30308 | 2019-09-06 |
| 1477110187 | Ariel Alibey | Preventive Medicine | 550 Peachtree St Ne Bldg 4th, Atlanta, GA 30308 | 2019-05-29 |
| 1972075497 | Laura Mcrae | Nurse Practitioner | Emory Center for Critical Care, 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-21 |
| 1265902134 | Kyle Brooks Kraft | Nurse Practitioner | 550 Peachtree Road, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-04 |
| 1396211025 | Vita Judkins | Pharmacist | 240 Renaissance Pkway Ne, Unit 116, Atlanta, GA 30308 | 2018-10-20 |
| 1407345911 | Caitlin Cundiff | Anesthesiology | 550 Peachtree St Ne Ste 3245b, Atlanta, GA 30308 | 2018-05-09 |
| Find all providers in zip 30308 | ||||
| Taxonomy Code | 246QC1000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| Specialization | Chemistry |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679750368 | David Donald Koch | Spec/Tech, Pathology | 80 Jesse Hill Jr. Drive, Grady Memorial Hospital, Atlanta, GA 30303 | 2008-01-25 |
| 1548368079 | James C Ritchie Jr. | Spec/Tech, Pathology | Emory University Hospital, 1364 Clifton Rd, Ne, Room F147b, Atlanta, GA 30322-0001 | 2006-09-20 |
Please comment or provide details below to improve the information on CORINNE RENEE FANTZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.