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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOSEPH MATTHEW FAIRLEY SR.

Active Sole Proprietor

JOSEPH MATTHEW FAIRLEY SR. is a Bus healthcare provider located in JACKSON, Mississippi. NPI 1144817115 is currently active in the NPPES registry. Verify at CMS.

Bus · JACKSON, MS

Registration Details

NPI Number
1144817115
Provider Type
Individual
Gender
Male
NPI Issued
Dec 24, 2020 (5.6124965038825 yrs)
Last Updated
Dec 24, 2020
Sole Proprietor
Yes

Practice Information

Address
1466 KRISTEN DR
JACKSON, MS, 392112115
Browse MS providers · Browse ZIP 39211
Phone
6014974757
Primary Specialty
Bus
343900000X

Other Bus Providers in JACKSON, MS

Name Credential NPI
MR. FREDRICK DWAYNE JONES 1851606743
WILLIAM P EVANS 1568931038
MRS. TRACEY BRYANT 1518581511
MICHAEL DEMON FORBES SR. 1710561493
MS. PRECIOUS SHARMAINE JOHNSON 1558012906
KEAISHA AIYANNA DNAE JOHNSON 1740929090
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.