David Faircloth (NPI# 1669404307, PAC ID# 6305038571) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1669404307 |
| PAC ID by PECOS | 6305038571 |
| Professional Enrollment ID | I20101013001244 |
| Full Name | David Faircloth |
| Organization Legal Name | FAIRCLOTH BAKEMAN PARTNERSHIP |
| Address |
1222 George C Wilson Dr Augusta GA 30909-4502 |
| Phone Number | 7068689500 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA SCHOOL OF DENTISTRY |
| Graduation Year | 1991 |
| Primary Specialty | ORAL SURGERY |
| Group Practice PAC ID | 1052503224 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420082 | AIKEN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 150 Crepe Myrtle Dr, Aiken, SC 29803-7543 | 8036420020 | FAIRCLOTH BAKEMAN PARTNERSHIP |
| 1222 George C Wilson Dr, Augusta, GA 30909-4502 | 7068689500 | FAIRCLOTH BAKEMAN PARTNERSHIP |
| Organization Legal Name | FAIRCLOTH BAKEMAN PARTNERSHIP |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennibeth Robles-velez | Oral Surgery | Faircloth Bakeman Partnership | 150 Crepe Myrtle Dr, Aiken, SC 29803-7543 |
| Richard J Bakeman | Oral Surgery | Faircloth Bakeman Partnership | 1222 George C Wilson Dr, Augusta, GA 30909-4502 |
| Street Address |
1222 GEORGE C WILSON DR |
| City | AUGUSTA |
| State | GA |
| Zip | 30909-4502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard J Bakeman | Oral Surgery | Faircloth Bakeman Partnership | 1222 George C Wilson Dr, Augusta, GA 30909-4502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan E Reimer | Family Medicine | 1224 Augusta W Pkwy, Augusta, GA 30909 | |
| Kent M Plowman | Interventional Pain Management | Stephens Clinic, LLC | 1109 Medical Ctr Dr, Suite 8a, Augusta, GA 30909 |
| Edgar R Bohannon | Qualified Audiologist | Augusta Hearing and Balance | 1215 A George Wilson, Suite 3, Augusta, GA 30909 |
| Tarak V Patel | Infectious Disease | 1224 Augusta W Pkwy, Augusta, GA 30909 | |
| Russell L Stephens | Anesthesiology | Stephens Clinic, LLC | 1109 Medical Ctr Dr, Suite 8a, Augusta, GA 30909 |
| Amanda S Battey | Qualified Audiologist | Augusta Hearing and Balance | 1215 A George Wilson, Suite 3, Augusta, GA 30909 |
| Rebecca B Hopkins | Audiologist | Augusta Hearing and Balance | 1215 A George Wilson, Augusta, GA 30909 |
| Dale Patrick | Optometry | Vision Partners, Inc. | 3450 Wrightsboro Rd, Suite 1325, Augusta, GA 30909-0566 |
| George Herman Hamiter Iii | Optometry | Vision Partners, Inc. | 3450 Wrightsboro Rd, Suite 1325, Augusta, GA 30909-0566 |
| Miguel Angel Bosch | Optometry | Vision Partners, Inc. | 3450 Wrightsboro Rd, Suite 1325, Augusta, GA 30909-0566 |
| Find all physicians in zip 30909 | |||
| City | AUGUSTA |
| Zip Code | 30909 |
| Specialty | ORAL SURGERY |
| City + Specialty | AUGUSTA + ORAL SURGERY |
Please comment or provide details below to improve the information on David Faircloth.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.