Provider Demographics
NPI:1528565785
Name:SCHILLING COSMETIC SURGERY & AESTHETICS, LLC
Entity Type:Organization
Organization Name:SCHILLING COSMETIC SURGERY & AESTHETICS, LLC
Other - Org Name:SCHILLING WOMENS CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHILLING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-606-0372
Mailing Address - Street 1:1757 ROCK QUARRY RD STE A
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-7303
Mailing Address - Country:US
Mailing Address - Phone:770-474-7151
Mailing Address - Fax:770-506-1915
Practice Address - Street 1:1757 ROCK QUARRY RD STE A
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-7303
Practice Address - Country:US
Practice Address - Phone:770-474-7151
Practice Address - Fax:770-506-1915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-12
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA30880207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty