Provider Demographics
NPI:1669833935
Name:SCHILLING, DAVID
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:SCHILLING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 ROSE CREEK DR STE 620-377
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30189-6797
Mailing Address - Country:US
Mailing Address - Phone:770-792-9146
Mailing Address - Fax:303-922-4640
Practice Address - Street 1:1025 ROSE CREEK DR STE 620-377
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30189-6797
Practice Address - Country:US
Practice Address - Phone:770-792-9146
Practice Address - Fax:303-922-4640
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-15
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic