MEDICARE: DR. JEFFREY SCHULTZE 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	207R00000X	Internal Medicine Physician	18940	SC

Other Identifiers

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

General Provider Information

NPI Number	:	1881660918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY SCHULTZE MD

Provider Business Mailing Address
First Line	:	PO BOX 13955
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29422-3955
Country	:	US
Telephone Number	:	843-795-5362
Fax Number	:	843-795-1921

Provider Business Practice Location Address
First Line	:	418 FOLLY RD
Second Line	:	SUITE A
City	:	CHARLESTON
State	:	SC
Zip	:	29412-2625
Country	:	US
Telephone Number	:	843-795-5362
Fax Number	:	843-795-1921

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

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	08/11/2016

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