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Contact Information

JOEL E SCHANCUPP
1030 WOODSTOCK RD
STE 3106
ROSWELL, GA30075-8271
 Phone: 770-993-0880
 Fax: 770-993-9722
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JOEL E SCHANCUPP · (Male)

NPI # 1972584498
Status Active
Credentials
Entity Individual
Enumeration date 11/10/2005
Last updated 02/01/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • GA License # POD 000506
  • GA Medicaid 00263062A
Hospital affiliation(s)
  • NORTH FULTON REGIONAL HOSPITAL - (Acute Care)
    3000 HOSPITAL BOULEVARD
    ROSWELL, GA 30076
  • NORTHSIDE HOSPITAL - (Acute Care)
    1000 JOHNSON FERRY ROAD, NE
    ATLANTA, GA 30342
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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