Individual
ADAM M ZELICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-3627
Mailing address
2700 S BAMBY LN NE, BROOKHAVEN, GA 30319-3650
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
85971
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2014
Last updated
04/20/2022
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