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Individual

TODD SCHULTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAAA

Contact information

Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-4852
Mailing address
3266 MITSY FOREST WAY NE, MARIETTA, GA 30068-2341
(770) 509-0047

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
003362
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100001836A
GA
Enumeration date
07/17/2006
Last updated
04/28/2010
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