Individual
TODD ROBERT FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 MEDICAL PKWY STE 200, GREER, SC 29650-2457
(864) 797-9550
(864) 797-9555
Mailing address
300 E MCBEE AVE, GREENVILLE, SC 29601-2842
(864) 522-8603
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28189
SC
208M00000X
Hospitalist Physician
28189
SC
208M00000X
Hospitalist Physician
LL28189
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281894
—
SC
Enumeration date
07/13/2006
Last updated
03/31/2022
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