| Fred T Garner, MD | |
|
200 Arbor Lake Dr Ste 120, Columbia, SC 29223-4516 | |
| (843) 766-7103 | |
| Not Available |
| Full Name | Fred T Garner |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology - Pediatric Otolaryngology |
| Location | 200 Arbor Lake Dr Ste 120, Columbia, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124092630 | NPI | - | NPPES |
| 570667594 | Other | SC | TAX ID |
| 204836403 | Other | SC | TAX ID |
| 160453 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 16045 (South Carolina) | Secondary |
| 207YP0228X | Otolaryngology - Pediatric Otolaryngology | 16045 (South Carolina) | Primary |
| Entity Name | Charleston Ent Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588607303 PECOS PAC ID: 4082662234 Enrollment ID: O20050105000267 |
| Mailing Address | Practice Location Address |
|---|---|
| Fred T Garner, MD 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 Ph: (843) 766-7103 | Fred T Garner, MD 200 Arbor Lake Dr Ste 120, Columbia, SC 29223-4516 Ph: (843) 766-7103 |
Dr. Ira David Uretzky, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 145 Park Central Dr Ste 100, Columbia, SC 29203 Phone: 803-408-3277 Fax: 803-408-3299 | |
Alan Howard Brill, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3 Richland Medical Park, Suite 130, Columbia, SC 29203 Phone: 803-744-7770 Fax: 803-744-7776 | |
Frank Reid Warder, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2750 Laurel St Ste 203, Columbia, SC 29204 Phone: 803-256-7076 Fax: 803-256-0961 | |
Dr. Chad B Gunnlaugsson, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1040 Pinnacle Point Dr, Columbia, SC 29223 Phone: 803-509-7200 Fax: 803-509-7213 | |
Dr. John Smythe Rich Iii, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1711 Richland St, Columbia, SC 29201 Phone: 803-799-3223 Fax: 803-933-9460 | |
Dr. Tab Eugene Thompson, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2801 Devine St Ste 101, Columbia, SC 29205 Phone: 803-256-7076 Fax: 803-256-0961 |