Basic Information
Provider Information
NPI: 1639469471
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHIRMER
FirstName: DAVID
MiddleName: AUSTIN
NamePrefix:  
NameSuffix: III
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 101 WOODRUFF CIR
Address2: WMB 4317
City: ATLANTA
State: GA
PostalCode: 303220001
CountryCode: US
TelephoneNumber: 2035542298
FaxNumber:  
Practice Location
Address1: 550 PEACHTREE ST NE BLDG STE 1800
Address2:  
City: ATLANTA
State: GA
PostalCode: 303082247
CountryCode: US
TelephoneNumber: 4046861000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/13/2011
LastUpdateDate: 04/14/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VE0102X74986GAY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology

No ID Information.


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