DAVID FAIRCLOTH

COLUMBIA, SC
NPI1104511294
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-06
Last Update Date2023-04-06
Business Address
DAVID FAIRCLOTH
3209 COLONIAL DR
COLUMBIA, SC 29203-6930
Phone number: 803-434-7399
Mailing Address
DAVID FAIRCLOTH
3209 COLONIAL DR
COLUMBIA, SC 29203-6930
Phone number: