Dr MICHAEL A FAIRCLOTH is a male medical professional, specializing in Family Medicine. He graduated in 2005 from Pikeville College School Of Osteopathic Medicine.
AGAPE SENIOR PRIMARY CARE INC
2318 SUNSET BLVD
WEST COLUMBIA
SC
291694716
Tel: 8034543510
| Npi | 1326007097 |
| Pac Id | 0648344606 |
| Professional Enrollment Id | I20080808000514 |
| Last Name | FAIRCLOTH |
| First Name | MICHAEL |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | PIKEVILLE COLLEGE SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | AGAPE SENIOR PRIMARY CARE INC |
| Group Practice Pac Id | 6800994807 |
| Number Of Group Practice Members | 86 |
| Line 1 Street Address | 2318 SUNSET BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 291694716 |
| Phone Number | 8034543510 |
| Hospital Affiliation Ccn 1 | 420082 |
| Hospital Affiliation Lbn 1 | AIKEN REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 421304 |
| Hospital Affiliation Lbn 2 | EDGEFIELD COUNTY HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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