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NPI Code Detail

MEDICARE: RICHARD RANDOLPH SCHULZE JR. MD

MEDICARE:   RICHARD RANDOLPH SCHULZE JR. MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician038949GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205815743
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD RANDOLPH SCHULZE JR. MD
Provider Business Mailing Address
First Line : 728 E 67TH ST
Second Line :
City : SAVANNAH
State : GA
Zip : 31405-4608
Country : US
Telephone Number : 912-352-3120
Fax Number : 912-352-1405
Provider Business Practice Location Address
First Line : 728 E 67TH ST
Second Line :
City : SAVANNAH
State : GA
Zip : 31405-4608
Country : US
Telephone Number : 912-352-3120
Fax Number : 912-352-1405
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2006
Last Update Date : 10/07/2011

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