Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FAGAN J FRASER, RRT
ActiveFAGAN J FRASER, RRT is a 2279G1100X healthcare provider located in DECATUR, Georgia. NPI 1023353760 is currently active in the NPPES registry. Verify at CMS.
2279G1100X · DECATUR, GA
Registration Details
- NPI Number
- 1023353760
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 6, 2012 (13.653018346109 yrs)
- Last Updated
- Dec 6, 2012
- Licenses
-
1750 (AL)002643 (GA)
Practice Information
- Address
-
1670 CLAIRMONT RDDECATUR, GA, 300334004Browse GA providers · Browse ZIP 30033
- Phone
- 4043216111
- Primary Specialty
-
2279G1100X
2279G1100X
- Additional Specialty
- 2279G1100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.