Organization
CHARLES M FOGARTY, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DARLA M BROWN RRT (OFFICE MANAGER)
(864) 582-6858
Entity
Organization
Contact information
Practice address
2030 NORTH CHURCH PLACE, SPARTANBURG, SC 29303-4276
(864) 582-6858
(864) 585-0999
Mailing address
PO BOX 4276, SPARTANBURG, SC 29305-4276
(864) 582-6858
(864) 585-0999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
08691
SC
207RP1001X
Pulmonary Disease Physician
Primary
08691
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086917
—
SC
Enumeration date
02/07/2007
Last updated
03/30/2012
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