Healthcare Provider Details

I. General information

NPI: 1982964458
Provider Name (Legal Business Name): CODY SCHWARTZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2012
Last Update Date: 02/09/2021
Certification Date: 02/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ACC CLINIC CB 7705 102 MASON FARM RD
CHAPEL HILL NC
27599-0001
US

IV. Provider business mailing address

ACC CLINIC CB 7705 102 MASON FARM RD
CHAPEL HILL NC
27599-0001
US

V. Phone/Fax

Practice location:
  • Phone: 919-966-1459
  • Fax:
Mailing address:
  • Phone: 919-966-1459
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number182449
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number2014-01721
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: