Fred T Garner
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology
200 Arbor Lake Dr Ste 120
Columbia
, South Carolina 29223-4516
Fred T Garner
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology
200 Arbor Lake Dr Ste 120
Columbia
, South Carolina 29223-4516
(843) 766-7103
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Fred T Garner
- 2295 Henry Tecklenburg Dr
- Charleston, SC
- Zip : 29414-7801
- Phone : (843) 766-7103
Second Address
- Fred T Garner
- 200 Arbor Lake Dr Ste 120
- Columbia, SC
- Zip : 29223-4516
- Phone : (843) 766-7103
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | 16045 | SC |
| Y | 207YP0228X | Pediatric Otolaryngology | 16045 | SC |
National Provider Identifier
| NPI | 1124092630 |
|---|---|
| Provider Name | Fred T Garner |
| First Address | Charleston, SC 29414-7801 |
| Second Address | Columbia, SC 29223-4516 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/02/2006 |
| Last Update Date | 18/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 160453 | (05) | SC |
| 204836403 | TAX ID (01) | SC |
| 570667594 | TAX ID (01) | SC |
| F33552 | (02) |
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.