Individual
DR. DANIEL L SCHOENBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2300 MANCHESTER EXPY, STE A 201, COLUMBUS, GA 31904-6802
(706) 320-2766
(706) 320-2768
Mailing address
PO BOX 9046, COLUMBUS, GA 31908-9046
(706) 320-2766
(706) 320-2768
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
065611
GA
207R00000X
Internal Medicine Physician
5101016526
MI
207RG0100X
Gastroenterology Physician
Primary
065611
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003107484
—
GA
01
—
202I109118
MEDICARE PTAN
GA
Enumeration date
05/09/2007
Last updated
03/15/2022
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