Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 01079781A | IN |
Y | 207V00000X | Obstetrician & Gynecologist | 2018-02069 | NC |
N | 207V00000X | Obstetrician & Gynecologist | 4301103430 | MI |
NPI | 1003255225 |
---|---|
Provider Name | Christanna Rae Schuman |
First Address | Burlington, NC 27215-9714 |
Second Address | Burlington, NC 27215 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2013 |
Last Update Date | 19/08/2021 |