Healthcare Provider Details

I. General information

NPI: 1033120035
Provider Name (Legal Business Name): VIRGINIA SCHREINER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 03/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5904 SIX FORKS RD SUITE 111
RALEIGH NC
27609-3838
US

IV. Provider business mailing address

5904 SIX FORKS RD SUITE 111
RALEIGH NC
27609-3838
US

V. Phone/Fax

Practice location:
  • Phone: 919-787-9555
  • Fax: 919-510-5111
Mailing address:
  • Phone: 919-787-9555
  • Fax: 919-510-5111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number9500215
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: