Individual
CHARLES M FOGARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2030 N CHURCH PLACE, SPARTANBURG, SC 29303
(864) 558-2685
(864) 585-0999
Mailing address
PO BOX 4276, SPARTANBURG, SC 29305
(864) 582-6858
(864) 585-0999
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
8691
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086917
—
SC
01
—
290011624
RAILROAD
SC
01
—
8688
MBPG'S
SC
Enumeration date
02/06/2006
Last updated
06/11/2012
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