Individual
DR. FERNANDO A. NAVARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 MEDICAL PARK RD STE 300, COLUMBIA, SC 29203-6839
(803) 545-5800
(803) 929-0492
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
016904
ME
208600000X
Surgery Physician
2011-00451
NC
208600000X
Surgery Physician
Primary
34564
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5917949
—
NC
01
—
AA95371955
MEDICARE PTAN
SC
05
—
NC1413
—
SC
Enumeration date
05/31/2006
Last updated
01/22/2019
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