Organization
FAIRVIEW FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA L. MACKESSY (MEDICAL SECRETARY)
(864) 967-4982
Entity
Organization
Contact information
Practice address
103 FAIRVIEW POINTE DR., SIMPSONVILLE, SC 29681
(864) 967-4982
(864) 967-8465
Mailing address
103 FAIRVIEW POINTE DR., SIMPSONVILLE, SC 29681
(864) 967-4982
(864) 967-8465
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/05/2006
Last updated
08/17/2010
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