Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 036-114146 | IL |
N | 207RC0000X | Internist - Cardiovascular Disease | 1420 | SC |
Y | 207RI0011X | Interventional Cardiology | 1420 | SC |
NPI | 1023274776 |
---|---|
Provider Name | Dr. Thomas William Schultz |
First Address | Atlanta, GA 30374-3904 |
Second Address | Columbia, SC 29203-8006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2008 |
Last Update Date | 22/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
014200 | (05) | SC |
P00886822 | RAILROAD MC ID-RSFPN (01) | SC |
P00886822 | RR MEDICARE (01) | SC |
P01302814 | RR MEDICARE (01) | SC |