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NPI Code Detail

MEDICARE: JOEL E SCHANCUPP

MEDICARE:   JOEL E SCHANCUPP
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
1213E00000XPodiatristPOD 000506GA

Other Identifiers

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

General Provider Information

NPI Number : 1972584498
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOEL E SCHANCUPP
Provider Business Mailing Address
First Line : 1030 WOODSTOCK RD
Second Line : STE 3106
City : ROSWELL
State : GA
Zip : 30075-8271
Country : US
Telephone Number : 770-993-0880
Fax Number : 770-993-9722
Provider Business Practice Location Address
First Line : 1030 WOODSTOCK RD
Second Line : STE 3106
City : ROSWELL
State : GA
Zip : 30075-8271
Country : US
Telephone Number : 770-993-0880
Fax Number : 770-993-9722
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2005
Last Update Date : 02/01/2025

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Directions to “ JOEL E SCHANCUPP ” Practice Location

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