| Doctor Name: | PAUL BENJAMIN SCHODOWSKI |
| NPI Number: | 1033109327 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | DPM0000000479 |
| Business Practice Address: | 2004 American Way Suite 115 Kingsport, TN - 376604673 |
| Business Phone Number: | 4232468840 |
| Business Fax Number: | 4232468559 |
| Mailing Address: | 2004 American Way, Ste 115 KINGSPORT |
| State: | TN |
| Postal Code: | 376604673 |
| Phone Number: | 4232468840 |
| Fax Number: | 4232468559 |
| NPI Enumeration Date: | 10/27/2005 |
| NPI Last Update Date: | 05/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | DPM0000000479 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |