Healthcare Provider Details

I. General information

NPI: 1225145964
Provider Name (Legal Business Name): FRANCINE I FRIEDMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 05/11/2023
Certification Date: 05/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 HAMPTON ST
CAMDEN SC
29020-2809
US

IV. Provider business mailing address

417 HAMPTON ST
CAMDEN SC
29020-2809
US

V. Phone/Fax

Practice location:
  • Phone: 803-713-7443
  • Fax:
Mailing address:
  • Phone: 803-713-7443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number058123
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number4301054971
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number89007
License Number StateSC
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number89007
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: