DAVID FAIRCLOTH

Technician - Attendant Care Provider

Active Individual
NPI: 1831767953

Practice Address

9160 LAKESIDE WAY
Gainesville, GA 30506

Phone: (678) 777-3441

Specialties

Specialty Code Primary License
Custodial Care Facility 311Z00000X No -
Technician - Attendant Care Provider 3747A0650X Yes -

Frequently Asked Questions

NPI 1831767953 is the National Provider Identifier for DAVID FAIRCLOTH, a Technician - Attendant Care Provider provider located in Gainesville, GA. This NPI was enumerated on June 15, 2021.
DAVID FAIRCLOTH practices at 9160 LAKESIDE WAY, Gainesville, GA 30506.

Quick Facts

NPI
1831767953
Type
Individual
Enumerated
Jun 15, 2021
Last Updated
Jun 15, 2021

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