Individual
ADAM DALZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
882 PONCE DE LEON AVE NE, ATLANTA, GA 30306-4268
(708) 093-0347
Mailing address
1026 CALIBRE SPRINGS WAY, ATLANTA, GA 30342-1879
(305) 527-8841
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
022090
NY
363A00000X
Physician Assistant
Primary
11005
GA
Other
Enumeration date
07/02/2018
Last updated
04/21/2023
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