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NPI Code Detail

MEDICARE: RICHARD H FITZGERALD M.D.

MEDICARE: RICHARD H FITZGERALD 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
1174400000XSpecialistSC9538SC

General Provider Information

NPI Number : 1912942129
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD H FITZGERALD M.D.
Provider Business Mailing Address
First Line : 1680 RIBAUT RD
Second Line :
City : BEAUFORT
State : SC
Zip : 29935
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1680 RIBAUT RD
Second Line :
City : PORT ROYAL
State : SC
Zip : 29935-2008
Country : US
Telephone Number : 843-522-7800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2006
Last Update Date : 04/23/2015

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