Fitzgerald, Michael Thomas

Fitzgerald, Michael Thomas is an individual health care provider with primary practice located at 9 Richland Medical Park Dr Ste 450 , Columbia SC 29203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fitzgerald, Michael Thomas can be contacted via phone (803) 434-8800.

Contact Information

Primary practice address
9 Richland Medical Park Dr Ste 450 Columbia SC 29203
Phone: (803) 434-8800
Fax: (803) 434-8802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 05445 Georgia
Allopathic & Osteopathic Physicians / Surgery 208600000X 55848 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X 82845 South Carolina

Profile Details

NPI number 1588924245
LBN Legal business name Fitzgerald, Michael Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2012
Last updated Aug 27th, 2019 - about 7 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 1588924245 NPPES
South Carolina MEDICAID 828457

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