Individual
DR. JOHN E DELZELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1315 JESSE JEWELL PKWY NE STE 300, GAINESVILLE, GA 30501-3822
(770) 219-9445
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
04-31516
KS
207Q00000X
Family Medicine Physician
Primary
81030
GA
207Q00000X
Family Medicine Physician
ME117849
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100330800B
—
KS
05
—
208258814
—
MO
01
—
21861028
BCBS KANSAS CITY
MO
01
—
927874
FIRSTGUARD
KS
01
—
P00278644
RAILROAD MEDICARE
—
Enumeration date
10/04/2006
Last updated
02/15/2021
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