Healthcare Provider Details

I. General information

NPI: 1952140162
Provider Name (Legal Business Name): THOMAS SCHOENFELDER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2024
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 NNPTC CIR
GOOSE CREEK SC
29445-6314
US

IV. Provider business mailing address

110 NNPTC CIR
GOOSE CREEK SC
29445-6314
US

V. Phone/Fax

Practice location:
  • Phone: 843-794-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License Number0102209676
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: