Fennell, Todd Robert

Fennell, Todd Robert is an individual health care provider with primary practice located at 325 Medical Pkwy Ste 200 , Greer SC 29650-2457. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Fennell, Todd Robert can be contacted via phone (864) 797-9550.

Contact Information

Primary practice address
325 Medical Pkwy Ste 200 Greer SC 29650-2457
Phone: (864) 797-9550
Fax: (864) 797-9555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 28189 South Carolina
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X LL28189 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 28189 South Carolina

Profile Details

NPI number 1083639884
LBN Legal business name Fennell, Todd Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Mar 31st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083639884 NPPES
South Carolina MEDICAID 281894

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