Healthcare Provider Details

I. General information

NPI: 1669419347
Provider Name (Legal Business Name): DANIEL SCHWARTZBERG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 05/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 PARKWAY DR NE
ATLANTA GA
30312-1212
US

IV. Provider business mailing address

PO BOX 591
COLUMBUS GA
31902-0500
US

V. Phone/Fax

Practice location:
  • Phone: 404-265-4000
  • Fax:
Mailing address:
  • Phone: 706-653-1102
  • Fax: 706-653-1230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number30211
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License Number42440
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: