Individual
DR. MARIA FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
525 LAFAYETTE CIR, GEORGETOWN, SC 29440-2569
(843) 546-6107
Mailing address
525 LAFAYETTE CIR, GEORGETOWN, SC 29440-2569
(843) 546-6107
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036078687
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036078687
BLUE SHIELD
IL
05
—
036078687
—
IL
05
—
327877
—
SC
Enumeration date
09/22/2006
Last updated
09/25/2013
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