Healthcare Provider Details

I. General information

NPI: 1841236429
Provider Name (Legal Business Name): ANNA V SCHILLING MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 07/08/2007
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

PO BOX 287
RUTHERFORDTON NC
28139-0287
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: