Individual
DR. JAMES ARTHUR FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3623 LATROBE DR, UITE 216, CHARLOTTE, NC 28211-1187
(704) 332-1291
(704) 332-5206
Mailing address
PO BOX 221249, CHARLOTTE, NC 28222-1249
(704) 332-1291
(704) 332-5206
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
16579
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167720
—
SC
05
—
8931035
—
NC
Enumeration date
03/28/2006
Last updated
07/08/2007
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