Organization
LORI SCHWAM, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI SCHWAM M.D. (DIRECTOR)
(706) 836-9379
Entity
Organization
Contact information
Practice address
4424 COLUMBIA RD, SUITE B, AUGUSTA, GA 30907-4565
(706) 993-3187
(706) 210-9308
Mailing address
PO BOX 211957, AUGUSTA, GA 30917-1957
(706) 836-9379
(706) 228-4814
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
239596957A
—
GA
Enumeration date
05/29/2008
Last updated
05/29/2008
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