Frederick T Garner, MD, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

FREDERICK T GARNER, MD, LLC

Practice address

200 Arbor Lake Dr Ste 120
Columbia, SC 29223-4516

Phone

(803) 457-8120

Fax

(803) 457-8129

NPI assigned

Nov 21, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Frederick Tatum Garner, M.D.

Title

Owner

Phone

(803) 457-8120

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ENT For Kids Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1588908024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ARBOR LAKE DR STE 120",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234516",
            "telephone_number": "803-457-8120",
            "fax_number": "803-457-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ARBOR LAKE DR STE 120",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234516",
            "telephone_number": "803-457-8120",
            "fax_number": "803-457-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK T GARNER, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "TATUM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-457-8120",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP6090",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENT For Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michele Frazier, M.ED.
• Steven Frazier, PHARM. D.
• Tanaya R Frazier
• Theresa Isadore Frazier, FNP
• Savannah Ray Fredendall, PT
• April Frederick, RN,MEDSURG-BC,NC-BC
• Chiquita Antwanette Frederick
• Jason Frederick
• Keven Frederick
• Paul G Fredette, M.D.

• Specialist in Columbia, SC
• Providers in Columbia, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.