Individual
DR. DAVID L FAIRBROTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1018 W H SMITH BLVD, GREENVILLE, NC 27834-5051
(252) 689-6333
(252) 756-2208
Mailing address
1018 WH SMITH BLVD, GREENVILLE, NC 27834-5051
(252) 689-6333
(252) 756-2208
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
9801251
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396E
BCBS NC
NC
05
—
5901356
—
NC
Enumeration date
11/30/2005
Last updated
07/12/2021
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