Individual
MICHAEL ALAN FAIRCLOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
(803) 695-8046
Mailing address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
(803) 695-8046
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
926
SC
207Q00000X
Family Medicine Physician
Primary
926
SC
Other
Enumeration date
03/21/2006
Last updated
05/01/2025
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