Provider Demographics
NPI:1003811886
Name:SCHOLL, DAVID J (PA)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:J
Last Name:SCHOLL
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:531 ROSELANE ST NW STE 710
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-6975
Mailing Address - Country:US
Mailing Address - Phone:678-331-3297
Mailing Address - Fax:678-581-7187
Practice Address - Street 1:157 CLINIC AVE STE 101
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:GA
Practice Address - Zip Code:30117-4454
Practice Address - Country:US
Practice Address - Phone:770-333-2220
Practice Address - Fax:678-581-7180
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2018-01-08
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Provider Licenses
StateLicense IDTaxonomies
GA003286363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA100001986CMedicaid
GA1003811886OtherNPI NUMBER
AL891003510Medicaid
GA100001986BMedicaid
GA100001986AMedicaid
GAS89414Medicare UPIN