Individual
KAREN S FAIRCLOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2805 DR JOHN HAYNES DR, PELL CITY, AL 35125-1448
(866) 313-5260
(205) 313-5245
Mailing address
333 CASTLEMAN LN, LEEDS, AL 35094-3856
(205) 699-6215
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-030650
AL
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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