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Individual

THOMAS L SCHAEFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3725 RENEE DR, MYRTLE BEACH, SC 29579-4109
(843) 350-1124
(877) 452-8854
Mailing address
3725 RENEE DR, MYRTLE BEACH, SC 29579-4109
(843) 350-1124
(877) 452-8854

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
93521
SC
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MD032332E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0014600500006
PA
01
080010028
RAILRAOD MEDICARE
PA
01
1014504
GATEWAY
PA
01
13183
ELDERHEALTH
PA
01
482435NMR
HIGHMARK BC/BS
PA
Enumeration date
08/09/2005
Last updated
03/26/2026
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