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Individual

DR. FRANK A DIFAZIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3424 SHELBY RAY CT, CHARLESTON, SC 29414-5838
(843) 402-6834
Mailing address
PO BOX 749306, ATLANTA, GA 30374-9306

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
321517
LA
207X00000X
Orthopaedic Surgery Physician
Primary
87400
SC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
38363
CT
207XX0801X
Orthopaedic Trauma Physician
038363
CT

Other

Enumeration date
08/21/2006
Last updated
11/11/2024
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