Individual
THOMAS MICHAEL SCHALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 PATEWOOD DRIVE, SUITE C100, GREENVILLE, SC 29615-3557
(864) 454-7422
(864) 454-8265
Mailing address
1 INDEPENDENCE PT, STE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
32569
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N0019B
—
SC
01
—
P00923400
RAILROAD MEDICARE
SC
Enumeration date
06/28/2006
Last updated
09/15/2015
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