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Individual
MRS. MENDI MICHELLE SCHUBERT
Active
Individual
MRS. MENDI MICHELLE SCHUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005934
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386659894
PROMOTION PHYSICAL THERAPY FACILITY NPI
—
01
—
582654830
BLUE CROSS BLUE SHIELD
GA
01
—
GRP PIN 821337
BLUE CROSS BLUE SHIELD
GA
01
—
GRP4351
MEDICARE
GA
Enumeration date
10/04/2006
Last updated
06/25/2008
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