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Contact Information

ANNA T FAIRCLOTH
502 6TH BAXTER XING
FORT MILL, SC29708-6596
 Phone: 704-377-5675
 Fax: 803-992-8077
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ANNA T FAIRCLOTH · (Female)

NPI Number 1407725807
Status Active
Credentials
Entity Individual
Enumeration date 11/03/2025
Last updated 02/03/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • SC License # 31246A
Hospital affiliation(s) Not Available
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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