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Vivian Faircloth, MD

NPI 1427009521 · on the registry since 2006

Practice

Address
1695 Roosevelt Ave Ste B
York, PA 17408
Phone
(717) 851-5503
Fax
(717) 798-3510
Organisation at this address
Cannon Dialysis Llc
Wellspan Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Additional practice sites

  • 717 Imar Dr, Sun City Center, FL
  • 200 3rd Ave W Ste 110, Bradenton, FL

Registry record

Primary taxonomy
2084N0400X
2084N0400X
Also registered as
2084N0400X
2084N0400X
Licence states on file
PA, FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-03-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania