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NPI Code Detail

MEDICARE: DR. RAYMOND SCOTT FABER M.D.

MEDICARE: DR. RAYMOND SCOTT FABER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician0101261834VA
2208M00000XHospitalist Physician0101261834VA

General Provider Information

NPI Number : 1366897639
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAYMOND SCOTT FABER M.D.
Provider Business Mailing Address
First Line : 606 BLACK RIVER RD
Second Line :
City : GEORGETOWN
State : SC
Zip : 29440-3304
Country : US
Telephone Number : 843-520-8405
Fax Number : 843-520-8459
Provider Business Practice Location Address
First Line : 606 BLACK RIVER RD
Second Line :
City : GEORGETOWN
State : SC
Zip : 29440-3304
Country : US
Telephone Number : 843-520-8405
Fax Number : 843-520-8459
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2016
Last Update Date : 06/12/2026

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