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Individual

DR. RICHARD A. FAHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
108 BEE ST, CHARLESTON, SC 29401
(843) 577-0177
(843) 828-0388
Mailing address
716 ELIZABETH DR, MURRELLS INLET, SC 29576-8795

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
014267
CT

Other

Enumeration date
10/04/2006
Last updated
07/08/2007
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