Individual provider · Type 1 NPI

Patrick Fagan, MD

Student in an Organized Health Care Education/Training Program · Greenville, NC

NPI number 1376339895 Active

Practice location

2100 Stantonsburg Rd
Greenville, NC 27834-2818

Call (770) 733-2177 Map

Mailing address

10 E Field St
Newnan, GA 30263-2206

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XFAGA-I0ZYF7 (NC)

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1376339895

Patrick Fagan, MD's National Provider Identifier is 1376339895, issued on Apr 21, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Greenville, NC. The record was last updated on Aug 27, 2025.