Individual
PRESTON B FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
403 STONEY LANDING RD, MONCKS CORNER, SC 29461-3967
(843) 761-8282
Mailing address
403 STONEY LANDING RD, MONCKS CORNER, SC 29461-3967
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3347
SC
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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