Healthcare Provider Details

I. General information

NPI: 1497797104
Provider Name (Legal Business Name): BETH ANN SCHNARS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 10/31/2022
Certification Date: 08/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2650 EXECUTIVE PARK NW SUITE 5
CLEVELAND TN
37312-2746
US

IV. Provider business mailing address

2520 KEITH ST NW STE 7
CLEVELAND TN
37312-3734
US

V. Phone/Fax

Practice location:
  • Phone: 423-479-9679
  • Fax: 423-559-9046
Mailing address:
  • Phone: 423-244-0209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number024243
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License Number023243
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: