Basic Information
Provider Information
NPI: 1962405548
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHNARS
FirstName: JOHN
MiddleName: C.L.
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 620 J L WHITE DR
Address2: STE 100
City: JASPER
State: GA
PostalCode: 301434896
CountryCode: US
TelephoneNumber: 7066926980
FaxNumber: 7066926982
Practice Location
Address1: 620 J L WHITE DR
Address2: STE 100
City: JASPER
State: GA
PostalCode: 301434896
CountryCode: US
TelephoneNumber: 7066926980
FaxNumber: 7066926982
Other Information
ProviderEnumerationDate: 05/27/2005
LastUpdateDate: 05/26/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X046239GAY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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