Individual
DR. RICHARD A ZELLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30045
(770) 995-4321
Mailing address
1190 W DRUID HILLS DR NE, #T-75, ATLANTA, GA 30329
(404) 634-9196
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
24742
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000335706B
—
GA
Enumeration date
12/13/2005
Last updated
04/27/2012
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