| Organization Name: | FLEETWOOD INTERNAL MEDICINE PA |
| NPI Number: | 1104812692 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAWRENCE E STROUD (PRESIDENT) |
| Mailing Address: | 109b Fleetwood Dr Easley |
| State: | SC US |
| Postal Code: | 296402019 |
| Phone Number: | 8648551036 |
| Fax Number: | 8648553318 |
| NPI Enumeration Date: | 09/21/2005 |
| NPI Last Update Date: | 10/31/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0401X |
| License Number: | 8878 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | A family medicine physician who specializes in the diagnosis and treatment of addictions. |