JOHN DAVID FAGAN

VICKSBURG, MS
NPI1801827019
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: MS  12624)
Enumeration Date2006-07-05
Last Update Date2020-09-10
Business Address
JOHN DAVID FAGAN M.D.
2200 HIGHWAY 61 N
VICKSBURG, MS 39183-8246
Phone number: 601-883-5940
Mailing Address
JOHN DAVID FAGAN M.D.
2080 SOUTH FRONTAGE RD SUITE 100
VICKSBURG, MS 39180
Phone number: 601-262-1000