Basic Information
Provider Information
NPI: 1225461205
EntityType: 2
ReplacementNPI:  
OrganizationName: DREW DAVID SCHNYDER P.A.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: FAMILYCARE HOME
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3164 US HIGHWAY 70
Address2:  
City: BLACK MOUNTAIN
State: NC
PostalCode: 287116302
CountryCode: US
TelephoneNumber: 8286694505
FaxNumber: 8286695112
Practice Location
Address1: 3164 US HIGHWAY 70
Address2:  
City: BLACK MOUNTAIN
State: NC
PostalCode: 287116302
CountryCode: US
TelephoneNumber: 8286694505
FaxNumber: 8286695112
Other Information
ProviderEnumerationDate: 08/14/2013
LastUpdateDate: 08/21/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: HUSKINS
AuthorizedOfficialFirstName: ALAN
AuthorizedOfficialMiddleName: FRANKLIN
AuthorizedOfficialTitleorPosition: PRACTICE MANAGER
AuthorizedOfficialTelephone: 8286694505
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X  Y193400000X MULTIPLE SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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