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Individual

DR. ELISABETH AUGUSTE MARGARETE SCHAIDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 323-8594
(910) 323-5795
Mailing address
PO BOX 53844, FAYETTEVILLE, NC 28305-3844
(910) 323-8594
(910) 323-5795

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
129TU
STATE HEALTH PLAN
NC
01
50083816
RAILROAD MEDICARE
NC
05
89129TU
NC
Enumeration date
09/26/2006
Last updated
10/08/2007
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