Provider Demographics
NPI:1871539809
Name:SCHNAPPER, ROBERT A (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:A
Last Name:SCHNAPPER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1288 WELLBROOK CIR NE
Mailing Address - Street 2:STE A
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30012-8032
Mailing Address - Country:US
Mailing Address - Phone:770-929-0777
Mailing Address - Fax:770-929-3107
Practice Address - Street 1:1288 WELLBROOK CIR NE
Practice Address - Street 2:STE A
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30012-8032
Practice Address - Country:US
Practice Address - Phone:770-929-0777
Practice Address - Fax:770-929-3107
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0182512084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00199416CMedicaid
GA152148OtherBCBS
D30741Medicare UPIN
GA152148OtherBCBS