Fleetwood Internal Medicine Pa

NPI 1104812692 - Family Medicine - 207QA0401X

NPI Details
NPI 1104812692
Enumeration Date 09/21/2005
Last Updated 10/31/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name LAWRENCE E LAWRENCE
Position PRESIDENT
Phone (864) 855-1036
Fax (864) 855-3318
Practice Location
109B FLEETWOOD DR
EASLEY SC, 29640-2019, US
Phone (864) 855-1036
Fax (864) 855-3318
Business Location
PO BOX 309
PICKENS SC, 29671-0309, US
Phone (864) 850-1441
Fax (864) 850-1482
Toxanomy
Taxonomy Code 207QA0401X
License State South Carolina
License Number 8878
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According to our database, Fleetwood Internal Medicine Pa NPI is 1104812692, taxonomy code is 207QA0401X and license number is 8878, license state is located at South Carolina. Fleetwood Internal Medicine Pa physically located at 109b Fleetwood Dr, Easley SC, 29640-2019. NPI Number 1033115704 has the healthcare provider type.

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1104812692 NPI number is provided on an as is basis without warranty of any kind. 1104812692 is maintained by the National Plan & Provider Enumeration System. The contents of Fleetwood Internal Medicine Pa are for informational purposes only.