Individual
JOHN FAWCETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
598 GEIGER BOULEVARD, BUILDING 598, MCAS BEAUFORT, BEAUFORT, SC 29906
(843) 228-7530
Mailing address
598 GEIGER BOULEVARD, BUILDING 598, MCAS BEAUFORT, BEAUFORT, SC 29906
(843) 228-7530
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9191
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/23/2016
Last updated
05/25/2022
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