Individual
DR. JOHN RUSSELL FLEMING JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1229 ALICE DR, SUMTER, SC 29150-1970
(803) 905-2273
(803) 905-7775
Mailing address
1035 FOXRIDGE CT, SUMTER, SC 29150-1732
(803) 236-9180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20821
SC
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
20821
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T49196
—
SC
Enumeration date
06/22/2005
Last updated
12/17/2019
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