Provider Demographics
NPI:1326095878
Name:SCHAUBLIN, GREG ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:GREG
Middle Name:ALAN
Last Name:SCHAUBLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:336 22ND AVE N
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1844
Mailing Address - Country:US
Mailing Address - Phone:615-346-8182
Mailing Address - Fax:615-829-8970
Practice Address - Street 1:5354 COQUINA SHORES LN
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32128-3009
Practice Address - Country:US
Practice Address - Phone:615-346-8182
Practice Address - Fax:615-829-8970
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMTM2019-00542084N0400X
TXR96832084N0400X
OH35.0871082084N0400X
TN583272084N0400X
FLME1376942084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2650706Medicaid
OH2650706Medicaid
OHH97036Medicare UPIN