Organization
FREDERICK T GARNER, MD, LLC
Active
Other names
ENT For Kids
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK TATUM GARNER M.D. (OWNER)
(803) 457-8120
Entity
Organization
Contact information
Practice address
200 ARBOR LAKE DR STE 120, COLUMBIA, SC 29223-4516
(803) 457-8120
(803) 457-8129
Mailing address
200 ARBOR LAKE DR STE 120, COLUMBIA, SC 29223-4516
(803) 457-8120
(803) 457-8129
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP6090
—
SC
Enumeration date
11/21/2012
Last updated
07/21/2022
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