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 provides Family Medicine Physician services 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 Not confirmed with CMS for 18 years — call before visiting
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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