Individual
DR. ROBERT H. FABREY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
116 BASKERVILL DR, PAWLEYS ISLAND, SC 29585-6013
(843) 237-2672
(843) 237-0369
Mailing address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 609-2076
(505) 609-6269
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29385
SC
207Q00000X
Family Medicine Physician
MD2008-0513
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21770
MD LICENSE NUMBER
NC
01
—
29385
MD LICENSE NUMBER
SC
Enumeration date
02/16/2007
Last updated
03/27/2009
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