Healthcare Provider Details

I. General information

NPI: 1992881833
Provider Name (Legal Business Name): ALLISON PAIGE SCHEETZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 09/01/2020
Certification Date: 09/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3351 NORTHSIDE DR
MACON GA
31210-2587
US

IV. Provider business mailing address

3351 NORTHSIDE DR
MACON GA
31210-2587
US

V. Phone/Fax

Practice location:
  • Phone: 478-201-6500
  • Fax: 478-201-6680
Mailing address:
  • Phone: 478-201-6500
  • Fax: 478-757-0876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number038356
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number038356
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: