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34D0703553 CLIA NUMBER - ROY O FAGAN III MD

Laboratory Demographics

CLIA Number: 34D0703553

Facility Name: ROY O FAGAN III MD

Facility Address:
419 W HARRISON STREET
REIDSVILLE, NC
ZIP 27320
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Facility Phone Number: 910 342-4448

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1023075140

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 34D0703553
LAB Type Physician Office
Facility Name ROY O FAGAN III MD
Street 419 W HARRISON STREET
City REIDSVILLE
State NC
ZIP 27320
Phone 910 342-4448
CertificateType 3
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType PPMP

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This page was last updated on: 4/23/2024