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NPI Code Detail

MEDICARE: DR. FREDERICK CHARLES PIEHL M.D

MEDICARE: DR. FREDERICK CHARLES PIEHL M.D
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
1207XP3100XPediatric Orthopaedic Surgery Physician13725SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366443632
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FREDERICK CHARLES PIEHL M.D
Provider Business Mailing Address
First Line : 1910 BLANDING ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-3520
Country : US
Telephone Number : 803-256-4107
Fax Number : 803-254-2825
Provider Business Practice Location Address
First Line : 1910 BLANDING ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-3520
Country : US
Telephone Number : 803-256-4107
Fax Number : 803-254-2825
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 12/01/2016

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