Individual
CHRISTOPHER W FAIRCLOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
136 US 70 HWY E, GARNER, NC 27529-3982
(919) 614-4527
Mailing address
6336 DIAMOND DR, RALEIGH, NC 27610-8556
(919) 614-4527
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20994
NC
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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