| Street | 1605 Central Ave | ||
| City/Town | Summerville | ||
| State/Province/Region | South Carolina | ||
| Zip/Postal Code | 29483 | ||
| Phone Number | (843) 871-2200 | ||
| Country | United States |
| Full Name | Prof. Richard Schultz MD | ||
| Gender | male | ||
| Birthday | 1993-03-06 | ||
| Social Security Number | 008-94-1791 |
| Credit card brand | EnRoute | ||
| Credit card number | 2149653352420974 | ||
| Expire | 2027/7 | ||
| CVV | 296 |