Individual
DANIEL PATRICK DELOZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1833 CLIFTON RD NE, ATLANTA, GA 30329-4021
(872) 231-3162
(702) 977-1496
Mailing address
PO BOX 22239, NEW YORK, NY 10087-0001
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003119
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002020L
—
GA
05
—
100002020M
—
GA
01
—
P00617935
RR MEDICARE
GA
Enumeration date
06/21/2007
Last updated
12/18/2025
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