Individual
ZACHARY SCHIFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3131 S MAIN STREET, MOULTRIE, GA 31768
(229) 985-3430
Mailing address
1120 HONEY PRONG RD, HARTSVILLE, TN 37074-3003
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1111111111
BLUE CROSS
TN
Enumeration date
02/27/2020
Last updated
02/27/2020
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