Individual
JACK HAUGHEY SCHIMMOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPO, CPO
Contact information
Practice address
166 SPRINGBROOK AVE STE 105, CLAYTON, NC 27520-8520
(919) 585-4173
Mailing address
166 SPRINGBROOK AVE STE 105, CLAYTON, NC 27520-8520
(919) 585-4173
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CPO05844
NC
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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