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1174866503
JONATHAN FAIRLEY
MOULTRIE, GA
NPI
1174866503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 074820)
Enumeration Date
2013-04-04
Last Update Date
2023-07-28
Business Address
Dr. JONATHAN FAIRLEY M.D.
3131 S MAIN ST
MOULTRIE, GA 31768-6925
Phone number: 229-502-9782
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Mailing Address
Dr. JONATHAN FAIRLEY M.D.
PO BOX 2876
MOULTRIE, GA 31776-2876
Phone number: 229-891-9131
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