Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fleetwood Internal Medicine PA

Organization Family Medicine Physician · NPI 1104812692

Fleetwood Internal Medicine PA is a Family Medicine Physician in Easley, South Carolina. Licensed in South Carolina. Registered with an NPI since 2005.

Licensed in
SC
In the registry since
2005
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

109B Fleetwood Dr
Easley, SC 29640-2019
Phone: (864) 855-1036
Fax: (864) 855-3318
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 851 (SC)
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X · Licence 8878 (SC)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 9099 (SC)

Record details

NPI number1104812692
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Stroud — President · (864) 855-1036
NPI enumeratedSeptember 21, 2005
Last updated in NPPESOctober 31, 2007
Mailing addressPo Box 309, Pickens, SC 29671-0309

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