Individual
FRED T GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 ARBOR LAKE DR STE 120, COLUMBIA, SC 29223-4516
(843) 766-7103
Mailing address
2295 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7801
(843) 766-7103
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
16045
SC
207YP0228X
Pediatric Otolaryngology Physician
Primary
16045
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160453
—
SC
01
—
204836403
TAX ID
SC
01
—
570667594
TAX ID
SC
Enumeration date
02/14/2006
Last updated
08/18/2021
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