Individual
RAYMOND E FAUGHT JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
9314
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00124767
MISSISSPPI MEDICAID
MS
01
—
C74435
VIVA
AL
01
—
P00236987
RAILROAD MEDICARE
AL
Enumeration date
06/15/2006
Last updated
07/08/2007
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