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NPI Code Detail

MEDICARE: MAYTAL SCHMIDT

MEDICARE: MAYTAL SCHMIDT
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1912578568
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYTAL SCHMIDT
Provider Business Mailing Address
First Line : 3350 BRECKINRIDGE BLVD STE 200
Second Line :
City : DULUTH
State : GA
Zip : 30096-4959
Country : US
Telephone Number : 770-962-8396
Fax Number :
Provider Business Practice Location Address
First Line : 3350 BRECKINRIDGE BLVD STE 200
Second Line :
City : DULUTH
State : GA
Zip : 30096-4959
Country : US
Telephone Number : 770-962-8396
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2021
Last Update Date : 07/06/2021

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Directions to “ MAYTAL SCHMIDT ” Practice Location

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