Individual
DR. GEORGE E FAHY III
Active
Individual
DR. GEORGE E FAHY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
24699
AL
207VG0400X
Gynecology Physician
24689
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009994760
—
AL
01
—
160059682
RAILROAD RETIRE PROV NUMB
—
01
—
51510969
BCBS PROVIDER NUMBER
AL
01
—
630438739007
CHAMPUS PROVIDER NUMBER
—
Enumeration date
07/26/2006
Last updated
06/10/2019
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