Provider Demographics
NPI:1407980378
Name:SCHAUFLER & SCHAUFLER, OB-GYN
Entity Type:Organization
Organization Name:SCHAUFLER & SCHAUFLER, OB-GYN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHAUFLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:706-883-8733
Mailing Address - Street 1:1555 DOCTORS DR STE 102
Mailing Address - Street 2:
Mailing Address - City:LAGRANGE
Mailing Address - State:GA
Mailing Address - Zip Code:30240-4132
Mailing Address - Country:US
Mailing Address - Phone:706-883-8733
Mailing Address - Fax:706-883-8793
Practice Address - Street 1:1555 DOCTORS DR STE 102
Practice Address - Street 2:
Practice Address - City:LAGRANGE
Practice Address - State:GA
Practice Address - Zip Code:30240-4132
Practice Address - Country:US
Practice Address - Phone:706-883-8733
Practice Address - Fax:706-883-8793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP432Medicare ID - Type Unspecified