Individual
COURTNEY LEE MCFADDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
32736
SC
207ND0900X
Dermatopathology Physician
Primary
32736
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144540428
NPI
—
Enumeration date
06/09/2010
Last updated
02/25/2020
Update your record
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