Individual
DR. GLEN THOMAS FELTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 CRISANTO AVENUE, SUITE B, FORT MILL, SC 29715
(803) 548-6464
(803) 396-8440
Mailing address
130 CRISANTO AVENUE, SUITE B, FORT MILL, SC 29715
(803) 548-6464
(803) 396-8440
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
39231
SC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
39231
SC
Other
Enumeration date
11/04/2005
Last updated
01/31/2024
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