Provider Demographics
NPI:1689556003
Name:CRISTOL, STEPHEN (MD, MPH, PHD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:CRISTOL
Suffix:
Gender:M
Credentials:MD, MPH, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5761 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30327-4334
Mailing Address - Country:US
Mailing Address - Phone:678-428-1833
Mailing Address - Fax:
Practice Address - Street 1:5761 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30327-4334
Practice Address - Country:US
Practice Address - Phone:678-428-1833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA465872083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine