MR. Paul Emanuel Fagan, PA-C

NPI #1336437367 in Statesville, North Carolina

Provider Information

NPI Number: 1336437367
Entity Type: Individual
Name: MR. Paul Emanuel Fagan, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 12, 2011
Last Updated: May 30, 2025

Practice Location

Address: 702 HARTNESS RD
City: Statesville
State: North Carolina
ZIP Code: 28677-3425
Phone: (704) 871-9818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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