Provider Demographics
NPI:1548588387
Name:SCHREEDER, CAROLINE (MD)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:SCHREEDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:
Other - Last Name:DELEONARDIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 2705
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35804-2705
Mailing Address - Country:US
Mailing Address - Phone:256-265-5951
Mailing Address - Fax:256-265-5952
Practice Address - Street 1:1041 BALCH RD
Practice Address - Street 2:SUITE 350
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-8343
Practice Address - Country:US
Practice Address - Phone:256-265-5951
Practice Address - Fax:256-265-5952
Is Sole Proprietor?:No
Enumeration Date:2010-05-04
Last Update Date:2017-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL34261208600000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program