Healthcare Provider Details

I. General information

NPI: 1649267261
Provider Name (Legal Business Name): HENRY JONATHAN SCHWARTZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2005
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 SOUTH 7TH STREET BLDG 700 78 MDG
ROBINS AFB GA
31098
US

IV. Provider business mailing address

655 SOUTH 7TH STREET BLDG 700 78 MDG
ROBINS AFB GA
31098
US

V. Phone/Fax

Practice location:
  • Phone: 478-327-7758
  • Fax:
Mailing address:
  • Phone: 478-327-7758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA63257
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberA63257
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code2083A0100X
TaxonomyAerospace Medicine Physician
License NumberA63257
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: