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1417969809
TIMOTHY MILTON FAIN
CHARLOTTE, NC
NPI
1417969809
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5001443)
Enumeration Date
2006-08-13
Last Update Date
2023-05-04
Business Address
TIMOTHY MILTON FAIN NP
1350 S KINGS DR
CHARLOTTE, NC 28207-2134
Phone number: 704-446-1255
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Mailing Address
TIMOTHY MILTON FAIN NP
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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