Individual
DR. DIRK C. SCHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(800) 532-6151
(706) 354-5769
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
41063
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000729429B
—
GA
Enumeration date
11/18/2005
Last updated
10/30/2019
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