Individual
ANNA TINKER FAIRCLOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 6TH BAXTER XING, FORT MILL, SC 29708-6596
(704) 377-5675
(803) 992-8077
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
31246A
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
11/03/2025
Last updated
02/03/2026
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