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Individual

SAMUEL OWENS SCHUMANN JR.

Active
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Individual

SAMUEL OWENS SCHUMANN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13550
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135507
—
SC
01
—
GP3821
MEDICAID GROUP LIVE OAK
SC
01
—
GPPA0169
MEDICAID GROUP
SC
01
—
P00449862
RR MEDICARE
SC
Enumeration date
06/17/2005
Last updated
06/10/2021
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