Provider Demographics
NPI:1326252503
Name:SCHOENBORN, DANIEL L (DO)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:L
Last Name:SCHOENBORN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9046
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31908-9046
Mailing Address - Country:US
Mailing Address - Phone:706-320-2766
Mailing Address - Fax:706-320-2768
Practice Address - Street 1:2300 MANCHESTER EXPY
Practice Address - Street 2:STE A 201
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-6802
Practice Address - Country:US
Practice Address - Phone:706-320-2766
Practice Address - Fax:706-320-2768
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101016526207R00000X
GA065611207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003107484Medicaid
GA202I109118OtherMEDICARE PTAN