Fairview Family Practice
NPI #1083645584 in Simpsonville, South Carolina
Provider Information
- NPI Number
- 1083645584
- Entity Type
- Organization
- Organization Name
- Fairview Family Practice
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 5, 2006
- Last Updated
- Aug 17, 2010
Practice Location
- Address
- 103 FAIRVIEW POINTE DR.
- City
- Simpsonville
- State
- South Carolina
- ZIP Code
- 29681
- Phone
- (864) 967-4982
Authorized Official
- Name
- ANDREA L. MACKESSY
- Title
- MEDICAL SECRETARY
- Phone
- (864) 967-4982
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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