Individual
GLEN ALEXANDER FEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
14 RICHLAND MEDICAL PARK DR STE 320, COLUMBIA, SC 29203-6896
(803) 434-6771
(803) 434-3955
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
17926
CA
208M00000X
Hospitalist Physician
Primary
87574
SC
Other
Enumeration date
03/20/2018
Last updated
08/22/2022
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