Michael Glen Fitzgerald in Greenville - Specialist

Michael Glen Fitzgerald - NPI 1831191527

Michael Glen Fitzgerald is a Specialist in Greenville, South Carolina. Michael Glen Fitzgerald practices all healthcare services and medical treatments related to Specialist. The NPI Number for Michael Glen Fitzgerald is 1831191527. The last update date is 2022-10-03.

Michael Glen Fitzgerald's current location address is 777 Lowndes Hill Rd Bldg 1, Greenville, South Carolina. You can contact this provider via phone number 8009672289 and fax number 8554629736. The mailing address for Michael Glen Fitzgerald is 777 Lowndes Hill Rd Bldg 1, Greenville, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Glen Fitzgerald
Address 777 Lowndes Hill Rd Bldg 1, Greenville, South Carolina
Phone Number 8009672289
Fax Number 8554629736
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1831191527
Provider Enumeration Date 2005-08-11
Last Updated Date 2022-10-03

Provider Mailing Address Detail

Address 777 Lowndes Hill Rd Bldg 1
City Greenville
State South Carolina (SC)
Post Code 296072101
Phone Number 8009672289
Fax Number 8554629736

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 4644
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
MD67611 AK --

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FAQs about Michael Glen Fitzgerald

What is the unique provider identifier assigned to Michael Glen Fitzgerald?

The Michael Glen Fitzgerald has been issued the NPI (National Provider Identifier) 1831191527 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Michael Glen Fitzgerald?

The Michael Glen Fitzgerald is situated at 777 Lowndes Hill Rd Bldg 1, in the city of Greenville, state of SC, with the zip code 296072101.

What is the Michael Glen Fitzgerald's specialty and taxonomy code?

The Michael Glen Fitzgerald's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

When was the Michael Glen Fitzgerald's 1831191527 issued?

The Michael Glen Fitzgerald's 1831191527 was issued on 2005-08-11.

When was the Michael Glen Fitzgerald's information last updated?

The Michael Glen Fitzgerald's information was last updated on 2022-10-03.

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