person
Anna Katheryn Fairfax
Diagnostic Radiology Physician in Charleston, South Carolina
NPI 1518594969

Anna Katheryn Fairfax is a Diagnostic Radiology Physician based in Charleston, SC and is specialized in Diagnostic Radiology. Anna Katheryn Fairfax practices in Charleston, SC. The NPI Number for Anna Katheryn Fairfax is 1518594969 and holds a License No. (South Carolina).

The current practice location address for Anna Katheryn Fairfax is 96 Jonathan Lucas St, Charleston, SC and can be reached out via phone at 843-792-7179 and via fax at 843-692-1122.

Location: 96 Jonathan Lucas St, Charleston, SC, 29425-3230
person
Provider Profile Details
NPI Number
1518594969
Provider Name
Anna Katheryn Fairfax
Credential
Provider Entity Type
Individual
Gender
Female
Address
96 Jonathan Lucas St, Charleston, SC, 29425-3230
Phone Number
843-792-7179
Fax Number
843-692-1122
Provider Enumeration Date
03/25/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
96 Jonathan Lucas St
City
State
Zip
29425-4607
Phone Number
843-792-7179
Fax Number
843-692-1122
person
Provider Business Mailing Address Details
Address
96 Jonathan Lucas St
City
State
Zip
29425-4607
Phone Number
843-792-7179
Fax Number
843-692-1122
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
LL84375 (South Carolina)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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