Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 8207 | SC |
N | 1223G0001X | General Practice | 8207 | SC |
N | 213EG0000X | General Practice | 8207 | SC |
NPI | 1003177106 |
---|---|
Provider Name | Dr. Elizabeth Freda Schuler |
First Address | Daniel Island, SC 29492-8420 |
Second Address | Johns Island, SC 29455-3229 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2012 |
Last Update Date | 11/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
ZX8207 | (05) | SC |