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Contact Information

DAVID G FAGAN, MD
11 MEDICAL PARK
VALLEY, AL36854-3665
 Phone: 334-756-4860
 Fax: 334-756-4866
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DAVID G FAGAN · (Male)

NPI # 1912929068
Status Active
Credentials MD
Entity Individual
Enumeration date 07/24/2006
Last updated 12/06/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 00017725
Hospital affiliation(s)
  • EAST ALABAMA MEDICAL CENTER AND SNF - (Acute Care)
    2000 PEPPERELL PARKWAY
    OPELIKA, AL 36801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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