Individual
DR. RICHARD L DETLEFS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2045 PEACHTREE RD NE, SUITE 525, ATLANTA, GA 30309-1414
(404) 351-7546
(678) 540-0100
Mailing address
2045 PEACHTREE RD NE STE 200, ATLANTA, GA 30309-1497
(404) 351-7546
(678) 540-0100
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
29438
GA
Other
Enumeration date
12/22/2005
Last updated
04/30/2020
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