Healthcare Provider Details

I. General information

NPI: 1447205661
Provider Name (Legal Business Name): CHARLES STEVEN SCHRAMM M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

993 F JOHNSON FERRY RD SUITE 210
ATLANTA GA
30342-1620
US

IV. Provider business mailing address

993 F JOHNSON FERRY RD SUITE 210
ATLANTA GA
30342-1620
US

V. Phone/Fax

Practice location:
  • Phone: 404-256-1727
  • Fax: 404-252-3591
Mailing address:
  • Phone: 404-256-1727
  • Fax: 404-256-0192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number029944
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: