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NPI Verification

National Provider Identifier: 1801827019

John David Fagan, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

Practice Address

2080 SOUTH FRONTAGE RD

SUITE 100

VICKSBURG, MS 39180

Phone: 601-262-1000

NPI Enumeration Date

July 5, 2006

NPI Number

1801827019

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry