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1225128515

NPI Code Detail

MEDICARE: DR. HEYWARD HUTCHINSON FOUCHE' JR. MD

MEDICARE: DR. HEYWARD HUTCHINSON FOUCHE' JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	14501	SC
2	207L00000X	Anesthesiology Physician	14501	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	050028876	OTHER	SC	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	145015	OTHER	SC	SELECT HEALTH
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	77834	OTHER	SC	MEDCOST
5	4229861	OTHER	SC	AETNA
6	2001250	OTHER	SC	CCP

General Provider Information

NPI Number	:	1225128515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEYWARD HUTCHINSON FOUCHE' JR. MD

Provider Business Mailing Address
First Line	:	300 E MCBEE AVE FL 4
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29601-2842
Country	:	US
Telephone Number	:	864-522-2286
Fax Number	:	803-708-1370

Provider Business Practice Location Address
First Line	:	1330 TAYLOR ST
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29201-2915
Country	:	US
Telephone Number	:	803-296-5433
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2006
Last Update Date	:	11/28/2022

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Directions to “ DR. HEYWARD HUTCHINSON FOUCHE' JR. MD” Practice Location

Language	Start Address	Practice Location

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