MEDICARE: DR. FITZGERALD EASLEY DRUMMOND 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	207RP1001X	Pulmonary Disease Physician	23951	SC
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	23951	SC
3	207RS0012X	Sleep Medicine (Internal Medicine) Physician	23951	SC
4	207R00000X	Internal Medicine Physician	23951	SC

Other Identifiers

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

General Provider Information

NPI Number	:	1700838943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FITZGERALD EASLEY DRUMMOND MD

Provider Business Mailing Address
First Line	:	1531 HARBORSUN DR
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29412-8273
Country	:	US
Telephone Number	:	843-406-4677
Fax Number	:

Provider Business Practice Location Address
First Line	:	96 JONATHAN LUCAS ST
Second Line	:	CSB SUITE 812
City	:	CHARLESTON
State	:	SC
Zip	:	29425-8900
Country	:	US
Telephone Number	:	843-792-2123
Fax Number	:	843-792-0732

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

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	11/23/2011

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Directions to “ DR. FITZGERALD EASLEY DRUMMOND MD” Practice Location

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