Healthcare Provider Details

I. General information

NPI: 1194388124
Provider Name (Legal Business Name): CHRISTOPHER FECEK MD, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2019
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 NASSAU ST
CHARLESTON SC
29403-5513
US

IV. Provider business mailing address

51 NASSAU ST
CHARLESTON SC
29403-5513
US

V. Phone/Fax

Practice location:
  • Phone: 843-722-4112
  • Fax: 866-285-7156
Mailing address:
  • Phone: 843-722-4112
  • Fax: 866-285-7156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number95152
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: