Individual
DR. SAMUEL RYAN FAUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 W FARIS RD, GREENVILLE, SC 29605-4255
(864) 455-6743
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
43878
KY
2085R0001X
Radiation Oncology Physician
Primary
90982
SC
2085R0001X
Radiation Oncology Physician
TP188
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100119690
—
KY
Enumeration date
10/10/2006
Last updated
11/29/2023
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