Healthcare Provider Details

I. General information

NPI: 1972821312
Provider Name (Legal Business Name): BARBARA S SCHLEFMAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2010
Last Update Date: 06/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2789 JOEL PL
ATLANTA GA
30360-1415
US

IV. Provider business mailing address

2789 JOEL PL
ATLANTA GA
30360-1415
US

V. Phone/Fax

Practice location:
  • Phone: 770-604-3803
  • Fax:
Mailing address:
  • Phone: 770-604-3803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP1100X
TaxonomyPodiatric Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. BARBARA S SCHLEFMAN
Title or Position: OWNER
Credential: DPM
Phone: 770-604-3803