Provider Demographics
NPI:1922629401
Name:STROKE ADVICE THROUGH TELEMEDICINE LLC
Entity Type:Organization
Organization Name:STROKE ADVICE THROUGH TELEMEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:SCHLATTERER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:770-262-1927
Mailing Address - Street 1:PO BOX 490
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30515-0490
Mailing Address - Country:US
Mailing Address - Phone:678-541-5552
Mailing Address - Fax:678-541-5554
Practice Address - Street 1:1000 MOUNT VERNON ESTATES DR
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-3959
Practice Address - Country:US
Practice Address - Phone:770-262-1927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-06
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic TraumaGroup - Single Specialty