JACKIE REX FAIRCLOTH

CORNELIUS, NC
NPI1306861679
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NC  200100232)
Enumeration Date2006-07-13
Last Update Date2023-12-18
Business Address
JACKIE REX FAIRCLOTH MD
20036 ZION AVE STE 100
CORNELIUS, NC 28031-8435
Phone number: 704-801-7400
Mailing Address
JACKIE REX FAIRCLOTH MD
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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