Provider Demographics
NPI:1316350531
Name:K. SCHOEFF, DO, PC
Entity type:Organization
Organization Name:K. SCHOEFF, DO, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:KIRSTA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHOEFF
Authorized Official - Suffix:
Authorized Official - Credentials:DO,
Authorized Official - Phone:706-324-4321
Mailing Address - Street 1:2012 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901-1460
Mailing Address - Country:US
Mailing Address - Phone:706-324-4321
Mailing Address - Fax:706-324-4385
Practice Address - Street 1:2012 10TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-1460
Practice Address - Country:US
Practice Address - Phone:706-324-4321
Practice Address - Fax:706-324-4385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-05
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA067987207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty