Healthcare Provider Details

I. General information

NPI: 1265417356
Provider Name (Legal Business Name): ANNA SCHILLING MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 S BROADWAY ST SUITE 108
FOREST CITY NC
28043-4092
US

IV. Provider business mailing address

420 S BROADWAY ST SUITE 108
FOREST CITY NC
28043-4092
US

V. Phone/Fax

Practice location:
  • Phone: 828-245-1711
  • Fax:
Mailing address:
  • Phone: 828-245-1711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number StateNC

VIII. Authorized Official

Name: DR. ANNA DE OCAMPO SCHILLING
Title or Position: PRACTICE OWNER
Credential: MD
Phone: 828-245-1711