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Individual

DR. JOHN THOMAS FALLON III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
600 MOYE BLVD, GREENVILLE, NC 27834-4300
(252) 744-2803
(252) 744-3616
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
195978
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2019-02897
NC

Other

Enumeration date
07/21/2005
Last updated
11/26/2024
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