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CARLY SCHNEIDER

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1710224001

Individual Registrant:
 CARLY  SCHNEIDER 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
110 SASANQUA DR  GRANITEVILLE, SC 29829 US
Tel: 803-392-1811  Fax: 803-761-6247

Contact information for business:
367 S. GULPH RD ATTN: IPM CREDENTIALING KING OF PRUSSIA, PA 19406-3121 US
Tel: 803-392-1811  Fax: --

Registration Information:
NPI: 1710224001
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
SC1873

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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