Individual
KARL DANIEL SCHULTZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1240 JESSE JEWELL PKWY SE, STE 300, GAINESVILLE, GA 30501-3862
(770) 534-7200
(678) 450-3778
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 533-4786
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
037676
GA
207T00000X
Neurological Surgery Physician
Primary
037676
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01354000
AMERIGROUP
GA
01
—
372241
WELLCARE
GA
01
—
52053507
BCBS
GA
05
—
799507418C
—
GA
05
—
799507418D
—
GA
01
—
P00837347
RAILROAD MEDICARE
GA
Enumeration date
11/23/2005
Last updated
08/27/2021
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