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FLEETWOOD INTERNAL MEDICINE PA
NPI 1104812692
Family Medicine in Easley, SC

Active since September 21, 2005
109B FLEETWOOD DR, EASLEY, SC 29640(864) 855-1036(864) 855-3318 Get Directions Write a Review

NPPES record last updated: October 31, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fleetwood Internal Medicine Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FLEETWOOD INTERNAL MEDICINE PA (NPI 1104812692) is a healthcare organization registered as a family medicine in Easley, South Carolina and active in the NPI registry since September 2005. The organization lists Lawrence E Stroud, President, as its authorized official.

NPPES Registry Identity

NPI1104812692
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFLEETWOOD INTERNAL MEDICINE PA
Location Address109B FLEETWOOD DREasley, SC 29640-2019
Mailing AddressPo Box 309Pickens, SC 29671-0309 · (864) 850-1441 · Fax (864) 850-1482
Phone(864) 855-1036
Fax(864) 855-3318
Organization SubpartNo
Authorized OfficialLawrence E StroudPresident · (864) 855-1036
Enumeration DateSeptember 21, 2005
Last NPPES UpdateOctober 31, 2007
✔ NPI 1104812692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · 851
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 8878 (SC)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 9099 (SC)
109B FLEETWOOD DR, Easley, SC 29640
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Other Identifiers 2

Medicare ID-Type Unspecified2350SC · Group Medicare Number
MedicaidPA4726SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRUCE R SCHOBER DO
Family Medicine
109B FLEETWOOD DR
EASLEY, SC 29640
Pickens County (864) 855-1036

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fleetwood Internal Medicine PA's NPI number?

The NPI number for Fleetwood Internal Medicine PA is 1104812692. It was assigned to this organization in the NPPES registry on September 21, 2005.

Where is Fleetwood Internal Medicine PA located?

Fleetwood Internal Medicine PA is located at 109B Fleetwood Dr, Easley, SC 29640. The listed phone number is (864) 855-1036.

What is Fleetwood Internal Medicine PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Fleetwood Internal Medicine PA was last updated on October 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.