Individual
DOUGLAS FOTIA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
9326 MEDICAL PLAZA DR, SUITE A, NORTH CHARLESTON, SC 29406-9138
(843) 377-1600
(843) 377-1601
Mailing address
9326 MEDICAL PLAZA DR, SUITE A, NORTH CHARLESTON, SC 29406-9138
(843) 377-1600
(843) 377-1601
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6167
SC
Other
Enumeration date
03/16/2006
Last updated
07/09/2007
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