Provider Demographics
NPI:1225363559
Name:SCHROEDER, JOSEPH DENNIS (RPA)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:DENNIS
Last Name:SCHROEDER
Suffix:
Gender:M
Credentials:RPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 ARIZONA AVE NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30307-2299
Mailing Address - Country:US
Mailing Address - Phone:678-904-6820
Mailing Address - Fax:678-904-6824
Practice Address - Street 1:200 ARIZONA AVE NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30307-2299
Practice Address - Country:US
Practice Address - Phone:678-904-6820
Practice Address - Fax:678-904-6824
Is Sole Proprietor?:No
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
05IN1171243U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes243U00000XTechnologists, Technicians & Other Technical Service ProvidersRadiology Practitioner Assistant