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Individual

ALBERT GEORGE FEDALEI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11 DOCTORS PARK DRIVE, SUITE 240, SPARTANBURG, SC 29307-1008
(864) 573-3593
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
19601
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
196013
SC
01
576007863161
BCBS OF SC
SC
01
P00685025
RR MEDICARE
SC
Enumeration date
05/19/2006
Last updated
08/02/2013
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