Fleetwood Internal Medicine Pa
LBN: Fleetwood Internal Medicine Pa
Fleetwood Internal Medicine Pa is an health care organization with primary practice located at 109B Fleetwood Dr , Easley SC 29640-2019. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Fleetwood Internal Medicine Pa can be contacted via phone (864) 855-1036, or through Stroud, Lawrence E via phone (864) 855-1036.
Contact Information
Primary practice address
109B Fleetwood Dr
Easley SC 29640-2019
Phone: (864) 855-1036
Fax: (864) 855-3318
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 851 | South Carolina |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 8878 | South Carolina |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 9099 | South Carolina |
Profile Details
| NPI number | 1104812692 |
|---|---|
| LBN Legal business name | Fleetwood Internal Medicine Pa |
| DBA Doing business as | |
| Authorized official | Stroud, Lawrence E Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Oct 31st, 2007 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104812692 | NPPES |
| South Carolina | MEDICAID | PA4726 |
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