Individual
TERRI L. FITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
129 N WASHINGTON ST, SUMTER, SC 29150-4949
(803) 774-5248
Mailing address
PO BOX 2517, SUMTER, SC 29151-2517
(803) 774-5248
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29269
SC
207Q00000X
Family Medicine Physician
39399
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048580H9
—
IN
05
—
64104334
—
KY
Enumeration date
07/14/2006
Last updated
03/07/2023
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