Provider Demographics
NPI:1124369103
Name:SCHMELTER, ROBERT JAMES (CSA)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:JAMES
Last Name:SCHMELTER
Suffix:
Gender:M
Credentials:CSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6175 HICKORY FLAT HWY STE 110-406
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30115-7207
Mailing Address - Country:US
Mailing Address - Phone:678-956-1272
Mailing Address - Fax:678-802-6138
Practice Address - Street 1:507 POINTE SOUTH DR
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31410-1724
Practice Address - Country:US
Practice Address - Phone:678-956-1272
Practice Address - Fax:678-802-6138
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-15
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4102246ZC0007X
246ZS0410X
GA4102246ZS0410X, 246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
No246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist