| Doctor Name: | MARY ELIZABETH FAIRCHILDS |
| NPI Number: | 1013258193 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | RN205146 |
| Business Practice Address: | 2000 E Greenville St Suite 1100 Anderson, SC - 296211580 |
| Business Phone Number: | 8642255667 |
| Business Fax Number: | 8647166746 |
| Mailing Address: | 2000 E Greenville St, Suite 1100 ANDERSON |
| State: | SC |
| Postal Code: | 296211580 |
| Phone Number: | 8642255667 |
| Fax Number: | 8647166746 |
| NPI Enumeration Date: | 03/14/2013 |
| NPI Last Update Date: | 07/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | RN205146 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |