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NPI Code Detail

MEDICARE: DR. PAUL RICHARD SCHRIEVER MD

MEDICARE: DR. PAUL RICHARD SCHRIEVER 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
1207P00000XEmergency Medicine Physician040781GA
2207P00000XEmergency Medicine PhysicianME115640FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457396434
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL RICHARD SCHRIEVER MD
Provider Business Mailing Address
First Line : PO BOX 932353
Second Line :
City : ATLANTA
State : GA
Zip : 31193-2353
Country : US
Telephone Number : 800-443-3672
Fax Number : 865-560-7310
Provider Business Practice Location Address
First Line : 368 NE FRANKLIN ST
Second Line :
City : LAKE CITY
State : FL
Zip : 32055-3088
Country : US
Telephone Number : 386-292-8000
Fax Number : 904-754-8121
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2006
Last Update Date : 08/15/2019

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