Dr EMMANUEL ANDES FAJARDO is a male medical professional, specializing in Internal Medicine. He graduated in 1992.
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
701 GROVE RD
SUITE 5
GREENVILLE
SC
296055601
Tel: 8644554411
| Npi | 1356412340 |
| Pac Id | 3476609249 |
| Professional Enrollment Id | I20090919000010 |
| Last Name | FAJARDO |
| First Name | EMMANUEL |
| Middle Name | ANDES |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1992 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PRISMA HEALTH UNIVERSITY MEDICAL GROUP |
| Group Practice Pac Id | 8325950983 |
| Number Of Group Practice Members | 1249 |
| Line 1 Street Address | 701 GROVE RD |
| Line 2 Street Address | SUITE 5 |
| Marker Of Address Line 2 Suppression | |
| City | GREENVILLE |
| State | SC |
| Zip Code | 296055601 |
| Phone Number | 8644554411 |
| Hospital Affiliation Ccn 1 | 420078 |
| Hospital Affiliation Lbn 1 | GHS GREENVILLE MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 420033 |
| Hospital Affiliation Lbn 2 | GHS GREER MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 3 | 420102 |
| Hospital Affiliation Lbn 3 | GHS PATEWOOD MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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