Provider Demographics
NPI: | 1104810241 |
---|---|
Name: | ZAPF, CHARLES ALGER (MD) |
Entity type: | Individual |
Prefix: | DR |
First Name: | CHARLES |
Middle Name: | ALGER |
Last Name: | ZAPF |
Suffix: | |
Gender: | M |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 25B LENOX POINTE NE |
Mailing Address - Street 2: | |
Mailing Address - City: | ATLANTA |
Mailing Address - State: | GA |
Mailing Address - Zip Code: | 30324-3172 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 404-364-0204 |
Mailing Address - Fax: | 404-266-8687 |
Practice Address - Street 1: | 25B LENOX POINTE NE |
Practice Address - Street 2: | |
Practice Address - City: | ATLANTA |
Practice Address - State: | GA |
Practice Address - Zip Code: | 30324-3172 |
Practice Address - Country: | US |
Practice Address - Phone: | 404-364-0204 |
Practice Address - Fax: | 404-266-8687 |
Is Sole Proprietor?: | Not Answered |
Enumeration Date: | 2005-09-05 |
Last Update Date: | 2025-09-11 |
Deactivation Date: | 2006-03-24 |
Deactivation Code: | |
Reactivation Date: | 2006-03-30 |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
GA | 18198 | 2084P0800X, 2084P0804X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 2084P0804X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Child & Adolescent Psychiatry |
No | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
GA | P0793 | Medicare UPIN |