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Individual

RICHARD P SCHELLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAAA

Contact information

Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 794-0477
(770) 794-3108
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(954) 839-2569

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002864
GA
367H00000X
Anesthesiologist Assistant
Primary
002864
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100001119B
GA
05
202I329588
GA
05
491431789A
GA
Enumeration date
11/21/2005
Last updated
08/27/2019
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