Doctor Name: | BRUCE F SCHMITT |
NPI Number: | 1225012248 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | 101914 |
Business Practice Address: | 800 Tilghman Dr Dunn, NC - 283345510 |
Business Phone Number: | 9108916000 |
Business Fax Number: | |
Mailing Address: | 45 Beth Ln, DUNN |
State: | NC |
Postal Code: | 283349034 |
Phone Number: | 9105675424 |
Fax Number: | 9108916001 |
NPI Enumeration Date: | 12/02/2005 |
NPI Last Update Date: | 07/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 101914 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |