Organization
AUBURN PRIMARY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD MARK SCHLOSSBERG M.D. (OWNER)
(770) 822-5555
Entity
Organization
Contact information
Practice address
12 7TH STREET, AUBURN, GA 30011
(770) 822-5555
(770) 822-6117
Mailing address
12 7TH STREET, AUBURN, GA 30011
(770) 822-5555
(770) 822-6117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
044330
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00825404B
—
GA
Enumeration date
04/27/2007
Last updated
08/22/2020
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