Mcfaddin, Ansel R

Mcfaddin, Ansel R is an individual health care provider with primary practice located at 115 N Sumter St Suite 115, Sumter SC 29150-4972. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mcfaddin, Ansel R can be contacted via phone (803) 436-5974.

Contact Information

Primary practice address
115 N Sumter St Suite 115 Sumter SC 29150-4972
Fax: (803) 436-5975
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 15511 South Carolina

Profile Details

NPI number 1518903111
LBN Legal business name Mcfaddin, Ansel R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Feb 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518903111 NPPES
South Carolina MEDICAID GP2526

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