Healthcare Provider Details

I. General information

NPI: 1639365851
Provider Name (Legal Business Name): JULIANNE SCHMIDT PHD, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2007
Last Update Date: 08/31/2023
Certification Date: 08/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CAMPUS HEALTH SERVICES 320 EMERGENCY ROOM DR CB #7470
CHAPEL HILL NC
27599-0001
US

IV. Provider business mailing address

330 RIVER RD
ATHENS GA
30602-1538
US

V. Phone/Fax

Practice location:
  • Phone: 919-966-6548
  • Fax:
Mailing address:
  • Phone: 706-542-4388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number1379
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: