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Individual

JOHN P SCHUMACHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA,CCP

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
001143
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001143
STATE LICENSE
GA
05
003142832B
GA
05
156095
AL
01
20297I0265
MEDICARE PTAN
GA
Enumeration date
05/10/2006
Last updated
08/04/2015
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