Scholl, David J
Scholl, David J is an individual health care provider with primary practice located at 157 Clinic Ave Ste 101 , Carrollton GA 30117-4454. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Scholl, David J can be contacted via phone (770) 333-2220.Contact Information
Primary practice address
157 Clinic Ave Ste 101
Carrollton GA 30117-4454
Phone: (770) 333-2220
Fax: (678) 581-7180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 003286 | Georgia |
Profile Details
| NPI number | 1003811886 |
|---|---|
| LBN Legal business name | Scholl, David J |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Jan 8th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003811886 | NPPES |
| Georgia | MEDICAID | 100001986C | |
| Georgia | Other | 1003811886 | |
| Georgia | MEDICAID | 891003510 | |
| Georgia | MEDICAID | 100001986B | |
| Georgia | MEDICAID | 100001986A |
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