Dr JOHN D FAGAN is a male medical professional, specializing in Urology. He graduated in 1984 from University Of Texas Medical Branch At Galveston.
VICKSBURG CLINIC LLC
46 SGT PRENTISS DR
NATCHEZ
MS
391204792
Tel: 6018835858
| Npi | 1801827019 |
| Pac Id | 7012067010 |
| Professional Enrollment Id | I20090612000518 |
| Last Name | FAGAN |
| First Name | JOHN |
| Middle Name | D |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1984 |
| Primary Specialty | UROLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | VICKSBURG CLINIC LLC |
| Group Practice Pac Id | 5890696330 |
| Number Of Group Practice Members | 31 |
| Line 1 Street Address | 46 SGT PRENTISS DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | NATCHEZ |
| State | MS |
| Zip Code | 391204792 |
| Phone Number | 6018835858 |
| Hospital Affiliation Ccn 1 | 250031 |
| Hospital Affiliation Lbn 1 | MERIT HEALTH RIVER REGION |
| Hospital Affiliation Ccn 2 | 250084 |
| Hospital Affiliation Lbn 2 | MERIT HEALTH NATCHEZ |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| 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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