Healthcare Provider Details

I. General information

NPI: 1760475420
Provider Name (Legal Business Name): MICHAEL ANDREW SCHRECK D.P.M., F.A.C.F.A.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2005
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 HAMILTON RD
COLUMBUS GA
31904-8927
US

IV. Provider business mailing address

2000 HAMILTON RD
COLUMBUS GA
31904-8927
US

V. Phone/Fax

Practice location:
  • Phone: 706-327-8819
  • Fax: 706-327-3147
Mailing address:
  • Phone: 706-327-8819
  • Fax: 706-327-3147

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPOD 000976
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: