Individual
JEFFERY JAMES FAHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 LAWTON LN, SALISBURY, NC 28144-2970
(704) 754-8905
Mailing address
3 LAWTON LN, SALISBURY, NC 28144-2970
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
38611
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3339884
—
TN
Enumeration date
10/07/2005
Last updated
11/18/2015
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