Provider Demographics
NPI:1447370788
Name:SCHAEFER, MARCUS (MD, MPH)
Entity type:Individual
Prefix:
First Name:MARCUS
Middle Name:
Last Name:SCHAEFER
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 ESTON DR
Mailing Address - Street 2:
Mailing Address - City:GOOSE CREEK
Mailing Address - State:SC
Mailing Address - Zip Code:29445-7131
Mailing Address - Country:US
Mailing Address - Phone:843-899-9420
Mailing Address - Fax:843-899-9421
Practice Address - Street 1:255 N HIGHWAY 52
Practice Address - Street 2:SUITE 8
Practice Address - City:MONCKS CORNER
Practice Address - State:SC
Practice Address - Zip Code:29461-3927
Practice Address - Country:US
Practice Address - Phone:843-899-9420
Practice Address - Fax:843-899-9421
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC201902083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine