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NPI Code Detail

MEDICARE: DR. GEORGE JOSEPH SCHILLING IV DO

MEDICARE: DR. GEORGE JOSEPH SCHILLING IV DO
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
1208VP0014XInterventional Pain Medicine Physician95361GA
22081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician95361GA

General Provider Information

NPI Number : 1972090066
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE JOSEPH SCHILLING IV DO
Provider Business Mailing Address
First Line : 900 CIRCLE 75 PKWY SE STE 1700
Second Line :
City : ATLANTA
State : GA
Zip : 30339-3087
Country : US
Telephone Number : 770-953-6929
Fax Number : 770-953-6972
Provider Business Practice Location Address
First Line : 620 CHEROKEE ST NE STE 300
Second Line :
City : MARIETTA
State : GA
Zip : 30060-7233
Country : US
Telephone Number : 770-635-1812
Fax Number : 770-485-2883
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2018
Last Update Date : 08/23/2023

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