Individual
ALICE BETH SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 MEDICAL CENTER BLVD, DEPARTMENT OF PATHOLOGY, LAWRENCEVILLE, GA 30046-7694
(678) 442-4321
Mailing address
PO BOX 1686, INDIANAPOLIS, IN 46206-1686
(800) 346-1181
(706) 232-0156
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
03765
GA
207ZP0101X
Anatomic Pathology Physician
Primary
037675
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000832873B
—
GA
Enumeration date
04/05/2006
Last updated
08/31/2016
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