Individual
ROBERT C SCHNACKENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1415 BLANDING ST, SUITE 4, COLUMBIA, SC 29201-2922
(803) 779-7500
(803) 779-7522
Mailing address
1415 BLANDING ST, SUITE 4, COLUMBIA, SC 29201-2922
(803) 779-7500
(803) 779-7522
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5816
SC
2084P0804X
Child & Adolescent Psychiatry Physician
5816
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058163
—
SC
Enumeration date
01/18/2006
Last updated
07/24/2015
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