MEDICARE: RYAN DOUGLAS FUCHS

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	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	83063	SC

General Provider Information

NPI Number	:	1700248952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN DOUGLAS FUCHS

Provider Business Mailing Address
First Line	:	2461 ANTIOCH RD
Second Line	:
City	:	HARTSVILLE
State	:	SC
Zip	:	29550-8966
Country	:	US
Telephone Number	:	614-738-9565
Fax Number	:

Provider Business Practice Location Address
First Line	:	1203 E CHEVES ST
Second Line	:
City	:	FLORENCE
State	:	SC
Zip	:	29506-2711
Country	:	US
Telephone Number	:	843-777-2000
Fax Number	:

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

Provider Enumeration Date	:	03/27/2016
Last Update Date	:	02/21/2024

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