Provider Demographics
NPI:1508174145
Name:SCHEINBART, ERIC ALLEN (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:ALLEN
Last Name:SCHEINBART
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:34 UPPER RIVERDALE RD
Mailing Address - Street 2:STE 100
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30274
Mailing Address - Country:US
Mailing Address - Phone:770-907-7222
Mailing Address - Fax:770-991-3154
Practice Address - Street 1:34 UPPER RIVERDALE RD
Practice Address - Street 2:STE 100
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274
Practice Address - Country:US
Practice Address - Phone:770-907-7222
Practice Address - Fax:770-991-3154
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-16
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GAGA023791208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice