MEDICARE: DR. PHILIP T. SCHLEY MD

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
1	208800000X	Urology Physician	007888	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	007888	OTHER	GA	LICENSE NUMBER

General Provider Information

NPI Number	:	1194806687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILIP T. SCHLEY MD

Provider Business Mailing Address
First Line	:	2808 18TH AVE.
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31901-1251
Country	:	US
Telephone Number	:	706-322-7222
Fax Number	:

Provider Business Practice Location Address
First Line	:	2808 18TH AVE,
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31901-1251
Country	:	US
Telephone Number	:	229-353-6208
Fax Number	:	229-353-7722

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	05/11/2012

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