Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 84376 | GA |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | D00793445 | MD |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 84376 | GA |
NPI | 1336258086 |
---|---|
Provider Name | Nicole C Schmitt |
First Address | Atlanta, GA 30308-2247 |
Second Address | Atlanta, GA 30308-2247 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 14/02/2022 |