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NPI Code Detail

MEDICARE: MRS. EMILY SCHOBER KLINGMAN NP

MEDICARE: MRS. EMILY SCHOBER KLINGMAN NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN257528GA
2363LP0200XPediatric Nurse PractitionerRN257528GA

General Provider Information

NPI Number : 1285278739
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EMILY SCHOBER KLINGMAN NP
Provider Business Mailing Address
First Line : 995 SEVILLE DR
Second Line :
City : CLARKSTON
State : GA
Zip : 30021-1048
Country : US
Telephone Number : 318-455-1870
Fax Number :
Provider Business Practice Location Address
First Line : 4112 E PONCE DE LEON AVE
Second Line :
City : CLARKSTON
State : GA
Zip : 30021-8106
Country : US
Telephone Number : 318-455-1870
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2019
Last Update Date : 10/28/2019

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