Anna Katheryn Fairfax is a student in an organized health care education training program in Myrtle Beach, SC. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Anna Katheryn Fairfax NPI is 1518594969. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
809 82ND PKWY
MYRTLE BEACH, SC
ZIP 29572-607
Phone: (843) 692-4403
Fax: (843) 692-1122
The NPI 1518594969 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/25/2020 and was last updated on 3/25/2020.