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NPI Code Detail

MEDICARE: CAROLINE PARKIN FAIRCLOTH MD

MEDICARE: CAROLINE PARKIN FAIRCLOTH MD
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
1207Q00000XFamily Medicine Physician93113SC

General Provider Information

NPI Number : 1801476585
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINE PARKIN FAIRCLOTH MD
Provider Business Mailing Address
First Line : 300 E MCBEE AVE FL 4
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2842
Country : US
Telephone Number : 864-522-8603
Fax Number :
Provider Business Practice Location Address
First Line : 200 N NELSON DR
Second Line :
City : FOUNTAIN INN
State : SC
Zip : 29644-9021
Country : US
Telephone Number : 864-522-6270
Fax Number : 864-522-6275
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2021
Last Update Date : 08/14/2024

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Directions to “ CAROLINE PARKIN FAIRCLOTH MD” Practice Location

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