Individual
DR. ALAN W. FOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 DOUGHTY ST STE 280, CHARLESTON, SC 29403-5727
(843) 884-8045
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
97460
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
97460
—
SC
01
—
P00930468
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
07/19/2005
Last updated
05/03/2022
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