| Carolyn Gardner Schultz, MD | |
|
4501 Old Spartanburg Rd, Suite 9, Taylors, SC 29687-4105 | |
| (864) 292-8868 | |
| (864) 331-0992 |
| Full Name | Carolyn Gardner Schultz |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 4501 Old Spartanburg Rd, Taylors, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588623029 | NPI | - | NPPES |
| 218703 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | 21870 (South Carolina) | Secondary |
| 208000000X | Pediatrics | 21870 (South Carolina) | Primary |
| Entity Name | Prisma Health University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn Gardner Schultz, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Carolyn Gardner Schultz, MD 4501 Old Spartanburg Rd, Suite 9, Taylors, SC 29687-4105 Ph: (864) 292-8868 |
Dr. Tabitha Martinez Randol, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4501 Old Spartanburg Rd, Suite 9, Taylors, SC 29687 Phone: 864-292-8868 | |
Dr. Jeffrey Martin Phillips, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4501 Old Spartanburg Rd, Suite 9, Taylors, SC 29687 Phone: 864-292-8868 Fax: 864-268-9564 | |
Brian K Few, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4501 Old Spartanburg Rd, Suite 9, Taylors, SC 29687 Phone: 864-292-8868 Fax: 864-331-0992 | |
Roy A Mages, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4501 Old Spartanburg Rd, Suite 9, Taylors, SC 29687 Phone: 864-292-8868 Fax: 864-331-0992 |