MEDICARE: DR. MARC STEVEN SCHNOBRICH DC

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	111N00000X	Chiropractor	5633	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639237480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARC STEVEN SCHNOBRICH DC

Provider Business Mailing Address
First Line	:	PO BOX 752
Second Line	:	5779 HWY 21
City	:	RINCON
State	:	GA
Zip	:	31326
Country	:	US
Telephone Number	:	912-826-4490
Fax Number	:	912-826-2844

Provider Business Practice Location Address
First Line	:	5779 HWY 21 SOUTH
Second Line	:
City	:	RINCON
State	:	GA
Zip	:	31326
Country	:	US
Telephone Number	:	912-826-4490
Fax Number	:	912-826-2844

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

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	10/27/2008

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