Individual
DR. RICHARD MARK SCHLOSSBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 7TH ST, AUBURN, GA 30011-3202
(770) 822-5555
(770) 822-6117
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
044330
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00825404B
—
GA
Enumeration date
09/15/2005
Last updated
10/07/2020
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