Individual
ANSEL R MCFADDIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 N SUMTER ST, SUITE 115, SUMTER, SC 29150-4972
(803) 436-5974
(803) 436-5975
Mailing address
115 N SUMTER ST, SUITE 115, SUMTER, SC 29150-4972
(803) 436-5974
(803) 436-5975
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15511
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2526
—
SC
Enumeration date
06/21/2006
Last updated
02/12/2021
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