Healthcare Provider Details

I. General information

NPI: 1407980378
Provider Name (Legal Business Name): SCHAUFLER & SCHAUFLER, OB-GYN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 10/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 DOCTORS DR STE 102
LAGRANGE GA
30240-4132
US

IV. Provider business mailing address

1555 DOCTORS DR STE 102
LAGRANGE GA
30240-4132
US

V. Phone/Fax

Practice location:
  • Phone: 706-883-8733
  • Fax: 706-883-8793
Mailing address:
  • Phone: 706-883-8733
  • Fax: 706-883-8793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EUGENE SCHAUFLER
Title or Position: PARTNER
Credential: M.D.
Phone: 706-883-8733