Doctor Name: | RUTH SCHIRMER DE HAVEN |
NPI Number: | 1841265220 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 16710 |
Business Practice Address: | 1249a Savannah Hwy St. Andrews Medical, Inc Charleston, SC - 294077826 |
Business Phone Number: | 8437632000 |
Business Fax Number: | 8437632325 |
Mailing Address: | 1249a Savannah Hwy, St. Andrews Medical, Inc CHARLESTON |
State: | SC |
Postal Code: | 294077826 |
Phone Number: | 8437632000 |
Fax Number: | 8437632325 |
NPI Enumeration Date: | 02/21/2006 |
NPI Last Update Date: | 02/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 16710 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |