Garner, Fred T
Garner, Fred T is an individual health care provider with primary practice located at 200 Arbor Lake Dr Ste 120 , Columbia SC 29223-4516. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is his primary health care specialty. Garner, Fred T can be contacted via phone (843) 766-7103.Contact Information
Primary practice address
200 Arbor Lake Dr Ste 120
Columbia SC 29223-4516
Phone: (843) 766-7103
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 16045 | South Carolina |
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | 16045 | South Carolina |
Profile Details
| NPI number | 1124092630 |
|---|---|
| LBN Legal business name | Garner, Fred T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Aug 18th, 2021 - about 3 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 | 1124092630 | NPPES |
| South Carolina | Other | 570667594 | TAX ID |
| South Carolina | Other | 204836403 | TAX ID |
| South Carolina | MEDICAID | 160453 | TAX ID |
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