Provider Demographics
NPI:1710628110
Name:SCHOEFFLER, HAYDEN C (MD)
Entity type:Individual
Prefix:DR
First Name:HAYDEN
Middle Name:C
Last Name:SCHOEFFLER
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 1:401 PAT HARALSON DR UNIT 3
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30512-8454
Mailing Address - Country:US
Mailing Address - Phone:706-487-7580
Mailing Address - Fax:706-781-0995
Practice Address - Street 1:401 PAT HARALSON DR UNIT 3
Practice Address - Street 2:
Practice Address - City:BLAIRSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30512-8454
Practice Address - Country:US
Practice Address - Phone:706-487-7580
Practice Address - Fax:706-781-0995
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-07
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA101228207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003319504BMedicaid