Dr. Glen Thomas Feltham
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
130 Crisanto Avenue Suite B
Fort Mill
, South Carolina 29715
Dr. Glen Thomas Feltham
Orthopaedic Surgeon Sports Medicine Orthopaedic Surgeon
130 Crisanto Avenue Suite B
Fort Mill
, South Carolina 29715
(803) 396-8440
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About
Features
Specialties
- Orthopaedic Surgeon
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Glen Thomas Feltham
- 130 Crisanto Avenue Suite B
- Fort Mill, SC
- Zip : 29715
- Fax : (803) 396-8440
- Phone : (803) 548-6464
Second Address
- Dr. Glen Thomas Feltham
- 130 Crisanto Avenue Suite B
- Fort Mill, SC
- Zip : 29715
- Fax : (803) 396-8440
- Phone : (803) 548-6464
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 39231 | SC |
| N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 39231 | SC |
National Provider Identifier
| NPI | 1194716381 |
|---|---|
| Provider Name | Dr. Glen Thomas Feltham |
| First Address | Fort Mill, SC 29715 |
| Second Address | Fort Mill, SC 29715 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/11/2005 |
| Last Update Date | 21/07/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H34782 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.