Roy O Fagan III MD PA

NPI #1023291234 in Reidsville, North Carolina

Provider Information

NPI Number: 1023291234
Entity Type: Organization
Organization Name: Roy O Fagan III MD PA
Primary Specialty: Internal Medicine
Enumeration Date: Dec 11, 2007
Last Updated: Dec 11, 2007

Practice Location

Address: 419 W HARRISON ST
City: Reidsville
State: North Carolina
ZIP Code: 27320-5015
Phone: (336) 342-4448

Authorized Official

Name: ROY O FAGAN, MD
Title: PRESIDENT
Phone: (336) 342-4448

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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