MEDICARE: MRS. LEA TORBETT SCHWAB 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
1	208000000X	Pediatrics Physician	20780	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	20780	OTHER	SC	BOARD OF MEDICAL EXAMINER
2	20-20780	OTHER	SC	DHEC
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588664411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LEA TORBETT SCHWAB MD

Provider Business Mailing Address
First Line	:	312 MIDLAND PKWY
Second Line	:
City	:	SUMMERVILLE
State	:	SC
Zip	:	29485-8102
Country	:	US
Telephone Number	:	843-875-6262
Fax Number	:	843-873-7958

Provider Business Practice Location Address
First Line	:	312 MIDLAND PKWY
Second Line	:
City	:	SUMMERVILLE
State	:	SC
Zip	:	29485-8102
Country	:	US
Telephone Number	:	843-875-6262
Fax Number	:	843-873-7958

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	03/07/2023

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