Healthcare Provider Details
I. General information
NPI: 1295900504
Provider Name (Legal Business Name): FRANCISCO AGUIRRE, III III MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/28/2008
Last Update Date: 01/11/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2 MEDICAL PARK RD STE 107
COLUMBIA SC
29203-6839
US
IV. Provider business mailing address
7300 N FRESNO ST
FRESNO CA
93720-2941
US
V. Phone/Fax
- Phone: 803-545-5700
- Fax: 803-434-4699
- Phone: 803-296-7320
- Fax: 803-296-7330
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | MD48242 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | 36786 |
| License Number State | SC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: