Healthcare Provider Details

I. General information

NPI: 1003225137
Provider Name (Legal Business Name): COURTNI SCHAAF NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2014
Last Update Date: 07/27/2020
Certification Date: 07/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 10TH AVE STE 370
COLUMBUS GA
31901-3710
US

IV. Provider business mailing address

PO BOX 117337
ATLANTA GA
30368-7337
US

V. Phone/Fax

Practice location:
  • Phone: 706-660-2562
  • Fax: 706-660-2580
Mailing address:
  • Phone: 770-801-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN204300
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: