Provider Demographics
NPI:1528129277
Name:SCHILLING, DEBRA ANN (MD)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:ANN
Last Name:SCHILLING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:ANN
Other - Last Name:STEWART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 280
Mailing Address - Street 2:
Mailing Address - City:PHENIX CITY
Mailing Address - State:AL
Mailing Address - Zip Code:36868-0280
Mailing Address - Country:US
Mailing Address - Phone:334-732-2265
Mailing Address - Fax:334-732-2127
Practice Address - Street 1:3715 HWY 280 W 431N
Practice Address - Street 2:
Practice Address - City:PHENIX CITY
Practice Address - State:AL
Practice Address - Zip Code:36867
Practice Address - Country:US
Practice Address - Phone:334-732-2265
Practice Address - Fax:334-732-2127
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00017127208100000X
GA028897208100000X
NY1615201208100000X
PA033718E208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000340315CMedicaid
AL051518711OtherBCBS
GA000340315CMedicaid
AL051518711OtherBCBS
RRP00151580Medicare ID - Type Unspecified