Individual
JOEL E SCHANCUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1030 WOODSTOCK RD, STE 3106, ROSWELL, GA 30075-8271
(770) 993-0880
(770) 993-9722
Mailing address
1030 WOODSTOCK RD, STE 3106, ROSWELL, GA 30075-8271
(770) 993-0880
(770) 993-9722
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD 000506
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00263062A
—
GA
Enumeration date
11/10/2005
Last updated
02/01/2025
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