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NPI Code Detail

MEDICARE: MS. CARLA M. SCHAAPHOK PAC

MEDICARE: MS. CARLA M. SCHAAPHOK PAC
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
1363A00000XPhysician AssistantPA-161AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679575518
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CARLA M. SCHAAPHOK PAC
Provider Business Mailing Address
First Line : 3670 GRANDVIEW PKWY STE 100
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35243-3326
Country : US
Telephone Number : 205-971-1800
Fax Number : 205-971-1801
Provider Business Practice Location Address
First Line : 3670 GRANDVIEW PKWY STE 100
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35243-3326
Country : US
Telephone Number : 205-971-1800
Fax Number : 205-971-1801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2005
Last Update Date : 06/03/2020

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Directions to “ MS. CARLA M. SCHAAPHOK PAC” Practice Location

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