Fedalei, Albert George
Fedalei, Albert George is an individual health care provider with primary practice located at 11 Doctors Park Drive Suite 240, Spartanburg SC 29307-1008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Fedalei, Albert George can be contacted via phone (864) 573-3593.Contact Information
Primary practice address
11 Doctors Park Drive Suite 240
Spartanburg SC 29307-1008
Phone: (864) 573-3593
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 19601 | South Carolina |
Profile Details
NPI number | 1407809296 |
---|---|
LBN Legal business name | Fedalei, Albert George |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 19th, 2006 |
Last updated | Aug 2nd, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407809296 | NPPES |
South Carolina | Other | 576007863161 | BCBS OF SC |
South Carolina | Other | P00685025 | BCBS OF SC |
South Carolina | MEDICAID | 196013 | BCBS OF SC |
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