NPI 1104812692

Fleetwood Internal Medicine PA

Organisation Family Medicine Physician Easley, SC

Practice location

Address: 109b Fleetwood Dr, Easley, SC 29640-2019
Phone: (864) 855-1036
Fax: (864) 855-3318
Mailing address: PO Box 309, Pickens, SC 29671-0309

Authorised official

Name: Lawrence E Stroud
Title: President
Phone: (864) 855-1036

Registered specialties (3)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 851 (SC)

Other Family Medicine providers in South Carolina →

Addiction Medicine (Family Medicine) Physician

Allopathic & Osteopathic Physicians Taxonomy 207QA0401X Licence 8878 (SC)

Cardiovascular Disease Physician

Allopathic & Osteopathic Physicians Taxonomy 207RC0000X Licence 9099 (SC)

Other Internal Medicine providers in South Carolina →

Registry record

NPI: 1104812692
Entity type: Organization
NPI issued: 21 Sep 2005
Record last updated: 31 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.