Provider Demographics
NPI:1316916273
Name:SCHUMACHER, SARAH MARIE (DO)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:MARIE
Last Name:SCHUMACHER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:201 SIGMA DR STE 100
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29486-7722
Mailing Address - Country:US
Mailing Address - Phone:843-695-6071
Mailing Address - Fax:843-569-5879
Practice Address - Street 1:7430 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-2903
Practice Address - Country:US
Practice Address - Phone:803-274-6263
Practice Address - Fax:803-973-6636
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC587207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC005871Medicaid
SCH17727Medicare UPIN
SC005871Medicaid