Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XM0800X | Mental Health | 1777 | GA |
NPI | 1225272909 |
---|---|
Provider Name | Barbara A Schiefer |
First Address | Evans, GA 30809-5603 |
Second Address | Fort Gordon, GA 30905-5950 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2009 |
Last Update Date | 27/04/2009 |