Provider Demographics
NPI:1609225432
Name:SCHAFER, CHARLES J (DO)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:J
Last Name:SCHAFER
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:4029 BURNETT-WOMACK BLDG SURGERY CB # 7081
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7081
Mailing Address - Country:US
Mailing Address - Phone:919-966-5221
Mailing Address - Fax:919-966-8806
Practice Address - Street 1:4029 BURNETT-WOMACK BLDG SURGERY CB # 7081
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7081
Practice Address - Country:US
Practice Address - Phone:919-966-5221
Practice Address - Fax:919-966-8806
Is Sole Proprietor?:No
Enumeration Date:2016-06-13
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOT017283208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery