Individual
DR. ANDREW FENTERS CALCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 ROBERTSON BLVD, WALTERBORO, SC 29488-3171
(843) 549-8003
(843) 549-8006
Mailing address
901 ROBERTSON BLVD, WALTERBORO, SC 29488-3171
(843) 549-8003
(843) 549-8006
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20022
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161633693
BCBS
SC
01
—
20037555
FIRST CHOICE/SELECT HEALT
SC
05
—
GP3585
—
SC
Enumeration date
04/20/2006
Last updated
11/10/2010
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