Organization
PALMETTO GENERAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D FIEDLER (PHYSICIAN OWNER)
(843) 764-0754
Entity
Organization
Contact information
Practice address
9213 C UNIVERSITY BLVD, N CHARLESTON, SC 29406
(843) 764-0754
(843) 572-2653
Mailing address
9213 C UNIVERSITY BLVD, N CHARLESTON, SC 29406
(843) 764-0754
(843) 572-2653
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126768
—
SC
Enumeration date
01/18/2007
Last updated
10/31/2007
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