Individual
DR. JEFFREY HASKELL FAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
508 JEFFERSON ST, WHITEVILLE, NC 28472-3634
(910) 640-2480
(910) 640-2487
Mailing address
1213 OLMSTEAD LN, WILMINGTON, NC 28405-4199
(352) 586-1059
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
29106
NC
208600000X
Surgery Physician
ME111974
FL
2086S0102X
Surgical Critical Care Physician
R4219
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004578500
—
FL
05
—
8931062
—
NC
Enumeration date
07/24/2006
Last updated
02/18/2025
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