Healthcare Provider Details

I. General information

NPI: 1487638607
Provider Name (Legal Business Name): FREDERICK SCHNELL JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2005
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 JOHNSON FERRY RD
ATLANTA GA
30342-1606
US

IV. Provider business mailing address

1000 JOHNSON FERRY RD
ATLANTA GA
30342-1606
US

V. Phone/Fax

Practice location:
  • Phone: 404-851-8000
  • Fax: 404-851-6325
Mailing address:
  • Phone: 404-851-8000
  • Fax: 404-851-6325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberMD.19982
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number042424
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number042424
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: