Individual
KAREN RUSSELL SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 MOYE BLVD, ECU PHYSICIANS PEDIATRIC GENETICS, GREENVILLE, NC 27834-4300
(252) 744-2335
(252) 744-3811
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
200100089
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1272V
BCBS NC
NC
01
—
370017971
RAILROAD MEDICARE
NC
05
—
891272V
—
NC
Enumeration date
11/01/2005
Last updated
07/31/2013
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