Provider Demographics
NPI:1285747162
Name:NAUMANN, ERIC P (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:P
Last Name:NAUMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:116 CRESTWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:SC
Mailing Address - Zip Code:29706-4902
Mailing Address - Country:US
Mailing Address - Phone:803-374-3253
Mailing Address - Fax:843-292-8383
Practice Address - Street 1:1822 SALLY HILL FARMS BLVD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-6987
Practice Address - Country:US
Practice Address - Phone:843-292-8383
Practice Address - Fax:843-292-8382
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC22295207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCG80799Medicare UPIN