Individual
DR. MANUEL FACHADO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
800 W MEETING ST, LANCASTER, SC 29720-2202
(803) 286-1479
(803) 286-1369
Mailing address
12315 GREENVILLE HWY, LYMAN, SC 29365-1515
(864) 439-4376
(864) 439-4385
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
940
SC
207Q00000X
Family Medicine Physician
Primary
940
SC
Other
Enumeration date
06/04/2006
Last updated
06/13/2008
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