Individual
DAMARIUS RAYMOND FAGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
503 AMHURST DRIVE, CONCORD, NC 28025
(704) 421-1684
Mailing address
150 BW THOMAS DR, FORT MILL, SC 29708-7230
(704) 421-6481
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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