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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