MEDICARE: DR. HARVEY JAY SCHECTER D.O.

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	207Q00000X	Family Medicine Physician	015982	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	:	1821051970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARVEY JAY SCHECTER D.O.

Provider Business Mailing Address
First Line	:	976 KILLIAN HILL RD SW
Second Line	:	SUITE A
City	:	LILBURN
State	:	GA
Zip	:	30047-3102
Country	:	US
Telephone Number	:	770-923-7500
Fax Number	:	770-923-7502

Provider Business Practice Location Address
First Line	:	976 KILLIAN HILL RD SW
Second Line	:	SUITE A
City	:	LILBURN
State	:	GA
Zip	:	30047-3102
Country	:	US
Telephone Number	:	770-923-7500
Fax Number	:	770-923-7502

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

Provider Enumeration Date	:	04/10/2006
Last Update Date	:	11/01/2010

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