Healthcare Provider Details

I. General information

NPI: 1336199769
Provider Name (Legal Business Name): ROBERT NEAL SCHALLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 12/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

940 GOLF HOUSE CT E
WHITSETT NC
27377-9296
US

IV. Provider business mailing address

1200 N ELM ST
GREENSBORO NC
27401-1004
US

V. Phone/Fax

Practice location:
  • Phone: 336-449-9848
  • Fax:
Mailing address:
  • Phone: 336-832-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number36819
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: