Individual
BRITTANY K FAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
201 S BAY DR, BAY, AR 72411-9482
(870) 770-1920
Mailing address
4196 HIGHWAY 62 412, HARDY, AR 72542-8002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PT2023-002
AR
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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