Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | CPO-1290 | |
N | 222Z00000X | Podiatrist | CPO-1290 | |
Y | 224P00000X | Prosthetist | CPO-1290 |
NPI | 1417259201 |
---|---|
Provider Name | Frederick Thomas Fehl |
First Address | Rock Hill, SC 29732-1670 |
Second Address | Rock Hill, SC 29732-1670 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2010 |
Last Update Date | 16/05/2013 |