Individual
MR. FRANK PATTERSON FAIRLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3006 LAWNDALE DR APT F, GREENSBORO, NC 27408-3450
(336) 542-0793
Mailing address
3006 LAWNDALE DR APT F, GREENSBORO, NC 27408-3450
(336) 542-0793
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NC
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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