MEDICARE: PAUL PARKER SCHWAB MD

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
1	2084P0800X	Psychiatry Physician	125.077362	IL
2	2084P0800X	Psychiatry Physician	A203170	CA
3	2084P0800X	Psychiatry Physician	036.166033	IL
4	2084P0800X	Psychiatry Physician	102222	GA

General Provider Information

NPI Number	:	1376029447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL PARKER SCHWAB MD

Provider Business Mailing Address
First Line	:	1720 PEACHTREE ST NW STE 431
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-2448
Country	:	US
Telephone Number	:	404-919-6409
Fax Number	:	833-973-5857

Provider Business Practice Location Address
First Line	:	1720 PEACHTREE ST NW STE 431
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-2448
Country	:	US
Telephone Number	:	404-919-6409
Fax Number	:	833-973-5857

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2018
Last Update Date	:	05/27/2026

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