Individual
TERRY SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
809 S MAIN STREET, STONE MOUNTAIN, GA 30083-3620
(770) 469-4131
(770) 469-3931
Mailing address
2545 LAWRENCEVILLE HWY, SUITE 200, DECATUR, GA 30033-3240
(770) 934-7876
(678) 990-7236
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
013370
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00024604B
—
GA
Enumeration date
11/11/2005
Last updated
03/27/2013
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