Healthcare Provider Details

I. General information

NPI: 1104810241
Provider Name (Legal Business Name): CHARLES ALGER ZAPF M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/05/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date: 03/24/2006
Reactivation Date: 03/30/2006

III. Provider practice location address

25B LENOX POINTE NE
ATLANTA GA
30324-3172
US

IV. Provider business mailing address

25B LENOX POINTE NE
ATLANTA GA
30324-3172
US

V. Phone/Fax

Practice location:
  • Phone: 404-364-0204
  • Fax: 404-266-8687
Mailing address:
  • Phone: 404-364-0204
  • Fax: 404-266-8687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number18198
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number18198
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: