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Individual
ERIC JAMES FAILE IV
Active
Individual
ERIC JAMES FAILE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16084
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160845
—
SC
01
—
5519125
AETNA
SC
01
—
571004971018
BCBS OF SC
SC
01
—
6991936
CIGNA
SC
01
—
80104687
RR MEDICARE
SC
Enumeration date
06/02/2006
Last updated
05/22/2015
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