Fleming, John Russell
Fleming, John Russell is an individual health care provider with primary practice located at 1229 Alice Dr , Sumter SC 29150-1970. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Fleming, John Russell can be contacted via phone (803) 905-2273.Contact Information
Primary practice address
1229 Alice Dr
Sumter SC 29150-1970
Phone: (803) 905-2273
Fax: (803) 905-7775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | 20821 | South Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20821 | South Carolina |
Profile Details
| NPI number | 1366448771 |
|---|---|
| LBN Legal business name | Fleming, John Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Dec 17th, 2019 - about 5 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 | 1366448771 | NPPES |
| South Carolina | MEDICAID | T49196 |
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