Healthcare Provider Details

I. General information

NPI: 1972957199
Provider Name (Legal Business Name): ANDREW FRANKLIN SCHIFF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2016
Last Update Date: 09/22/2022
Certification Date: 09/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 RICHLAND MEDICAL PARK DR
COLUMBIA SC
29203-6863
US

IV. Provider business mailing address

117 MEADOW STONE LN
MOUNT AIRY NC
27030-6237
US

V. Phone/Fax

Practice location:
  • Phone: 954-254-7276
  • Fax:
Mailing address:
  • Phone: 954-254-7276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number2019-01979
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number88380
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: