Adam Dalzell, PA-C
Physician Assistant in Atlanta, GA. Individual provider (NPI-1).
NPI number1659867711
StatusActive
Last updated in NPPESApr 21, 2023
Details
- NPI
- 1659867711
- Entity type
- Individual (NPI-1)
- Name
- Adam Dalzell
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 2, 2018
- Certification date
- Apr 21, 2023
- Last updated
- Apr 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 11005 | GA | Yes |
| 363A00000X | Physician Assistant | 022090 | NY |
Practice location
882 Ponce De Leon Ave NeAtlanta, GA 30306-4268
Phone 708-093-0347
Mailing address
1026 Calibre Springs WayAtlanta, GA 30342-1879
Phone 305-527-8841
Other practice locations
1026 Calibre Springs Way
Atlanta, GA 30342-1879
Atlanta, GA 30342-1879
Phone 305-527-8841
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