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1386887727
MARISA SCARLETT FAIRCLOTH
THOMASVILLE, NC
NPI
1386887727
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Former Name
MARISA SCARLETT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 100709)
Enumeration Date
2009-04-15
Last Update Date
2009-05-12
Business Address
-- MARISA SCARLETT FAIRCLOTH PA-C
1419 NATIONAL HWY MIDWAY PLAZA
THOMASVILLE, NC 27360-2319
Phone number: 336-889-7213
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Mailing Address
-- MARISA SCARLETT FAIRCLOTH PA-C
PO BOX 1226
FRANKLIN, TN 37065-1226
Phone number: 615-591-2732
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