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NPI Code Detail

MEDICARE: DAVID ERIC SCHOENFELD M.D.

MEDICARE:   DAVID ERIC SCHOENFELD  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician040780GA

General Provider Information

NPI Number : 1184622946
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID ERIC SCHOENFELD M.D.
Provider Business Mailing Address
First Line : 157 CLINIC AVE
Second Line : SUITE 301
City : CARROLLTON
State : GA
Zip : 30117-4413
Country : US
Telephone Number : 770-838-9333
Fax Number : 770-838-7755
Provider Business Practice Location Address
First Line : 157 CLINIC AVE
Second Line : SUITE 301
City : CARROLLTON
State : GA
Zip : 30117-4413
Country : US
Telephone Number : 770-838-9333
Fax Number : 770-838-7755
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 10/05/2010

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Directions to “ DAVID ERIC SCHOENFELD M.D.” Practice Location

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