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Organization
FAMILY PRACTICE OF ST. STEPHEN, PA
Active
Organization
FAMILY PRACTICE OF ST. STEPHEN, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL OWENS SCHUMANN JR. MD (PRESIDENT)
(843) 567-3206
Entity
Organization
Contact information
Practice address
104 FUNK AVE, SAINT STEPHEN, SC 29479-3383
(843) 567-3206
(843) 567-3287
Mailing address
PO BOX 549, SAINT STEPHEN, SC 29479-0549
(843) 567-3206
(843) 567-3287
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
05
—
PA0169
—
SC
Enumeration date
03/06/2008
Last updated
03/06/2008
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