Healthcare Provider Details

I. General information

NPI: 1972628667
Provider Name (Legal Business Name): JAMES M SCHEAR PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1056 CLAUSSEN RD SUITE 210
AUGUSTA GA
30907-0318
US

IV. Provider business mailing address

1056 CLAUSSEN RD SUITE 210
AUGUSTA GA
30907-0318
US

V. Phone/Fax

Practice location:
  • Phone: 706-731-9610
  • Fax: 706-731-9611
Mailing address:
  • Phone: 706-731-9610
  • Fax: 706-731-9611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number883
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: