Healthcare Provider Details

I. General information

NPI: 1114926607
Provider Name (Legal Business Name): DANIEL R. SCHLATTERER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 09/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 PARKWAY DR NE, STE 300
ATLANTA GA
30312-1212
US

IV. Provider business mailing address

320 PARKWAY DR NE, STE 300
ATLANTA GA
30312-1212
US

V. Phone/Fax

Practice location:
  • Phone: 404-265-6991
  • Fax: 404-265-6992
Mailing address:
  • Phone: 404-265-6991
  • Fax: 404-265-6992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number056218
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: