Individual
GEORGE DAVID FAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MARKS RD, OCEAN SPRINGS, MS 39564-4351
(228) 818-0563
(228) 818-0519
Mailing address
22 DOCTORS DR, OCEAN SPRINGS, MS 39564
(228) 818-0563
(228) 818-0519
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
09296
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016739
—
MS
Enumeration date
12/19/2006
Last updated
07/08/2007
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