Individual
REBECCA J FYFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-5611
(864) 455-7928
Mailing address
620 HALTON RD, APT 12104, GREENVILLE, SC 29607-3440
(610) 731-3465
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
010017
NY
363A00000X
Physician Assistant
Primary
010017
NY
363A00000X
Physician Assistant
APPLIED
SC
Other
Enumeration date
08/22/2007
Last updated
08/13/2009
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