Organization
SCHUMANN DERMATOLOGY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH W SCHUMANN MD (OWNER)
(757) 564-1200
Entity
Organization
Contact information
Practice address
302 BULIFANTS BLVD STE 101, WILLIAMSBURG, VA 23188-5738
(757) 564-1200
(757) 564-0034
Mailing address
302 BULIFANTS BLVD STE 101, WILLIAMSBURG, VA 23188-5738
(757) 564-1200
(757) 564-0034
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101226511
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
285595
ANTHEM BC BS
VA
01
—
37187
OPTIMA PPO
VA
Enumeration date
11/13/2006
Last updated
01/21/2021
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