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1629147848
AMELIA C FAIRFAX
CHARLESTON, SC
NPI
1629147848
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 22266)
Enumeration Date
2006-11-06
Last Update Date
2017-10-10
Business Address
Dr. AMELIA C FAIRFAX MD
2270 ASHLEY CROSSING DR STE 150
CHARLESTON, SC 29414-5702
Phone number: 843-766-1936
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Mailing Address
Dr. AMELIA C FAIRFAX MD
PO BOX 13955
CHARLESTON, SC 29422-3955
Phone number: 843-766-1936
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