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Individual

DR. JAMES E FAYSSOUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
615 WESLEY DR, SUITE 200, CHARLESTON, SC 29407-7204
(843) 571-6880
(843) 571-1387
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21496
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
214968
SC
01
P00457514
RAILROAD MEDICARE ID
SC
01
P00739548
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
05/16/2006
Last updated
10/29/2020
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