Individual
DR. ANDREW THOMAS FAIRCHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-5095
Mailing address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-5095
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
218220
NC
2085R0001X
Radiation Oncology Physician
Primary
2021-00778
NC
Other
Enumeration date
04/24/2016
Last updated
12/15/2021
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