Organization
MARLBORO EMERGENCY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CLIFF SCHUMACHER MD (CEO)
(800) 893-9698
Entity
Organization
Contact information
Practice address
1138 CHERAW HIGHWAY, BENNETTSVILLE, SC 29512-0738
(800) 893-9698
Mailing address
200 COPORATE BLVD., SUITE 201, LAFAYETTE, LA 70508
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5950248
—
SC
Enumeration date
12/20/2006
Last updated
02/02/2009
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