Individual
JOHN P SCHUMACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA,CCP
Contact information
Practice address
2300 MANCHESTER EXPY, STE 1009, COLUMBUS, GA 31904-6877
(706) 596-8200
(706) 571-0207
Mailing address
PO BOX 8805, COLUMBUS, GA 31908-8805
(706) 596-8200
(706) 571-0207
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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