Provider Demographics
NPI:1194733600
Name:SCHWEGMAN, DAVID G (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:G
Last Name:SCHWEGMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1341 CANTON RD STE A
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-6056
Mailing Address - Country:US
Mailing Address - Phone:770-422-0517
Mailing Address - Fax:678-638-7015
Practice Address - Street 1:5887 GLENRIDGE DR STE 375
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-6191
Practice Address - Country:US
Practice Address - Phone:678-229-2800
Practice Address - Fax:678-638-7015
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0504372083P0011X, 2083P0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA01076093OtherAMERIGROUP
GA000915285FMedicaid
GA000915285GMedicaid
GA411379OtherWELLCARE
GA01076093OtherAMERIGROUP
GAP00455743Medicare PIN