Individual
CHARLES ADAM LORENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1365B CLIFTON RD NE, ATLANTA, GA 30322
(404) 778-4898
Mailing address
1365B CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-4898
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
80821
GA
Other
Enumeration date
04/26/2013
Last updated
06/28/2018
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