Individual
DR. SUSAN CHRISTINE FAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
HM 1220 1120 15TH STREET, UNIVERSITY OF GEORGIA COLLEGE OF PHARMACY, AUGUSTA, GA 30912
(706) 721-4915
(706) 721-3994
Mailing address
107 BLACKHAW DR, NORTH AUGUSTA, SC 29860-9218
(706) 721-4915
(706) 721-3994
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH020270
GA
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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