Search › Georgia › 207R00000X
Samuel Dolezal, MD, PHD
NPI 1326499187 · on the registry since 2016 · sole proprietor
Practice
- Address
- 3320 Old Jefferson Rd Ste 600
Athens, GA 30607 - Phone
- (706) 353-2990
- Fax
- (706) 353-2992
- Organisation at this address
- Dan A Bartlett, Pc
James A Parker Md Pc
Athens Podiatry, P.C.
University Health Alliance
Summit Clinical Research LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 88
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 390200000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-11-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia