Provider Demographics
NPI:1225099294
Name:MIKHAIL, FAYEZ F (MD)
Entity Type:Individual
Prefix:MR
First Name:FAYEZ
Middle Name:F
Last Name:MIKHAIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1106 WESTMORELAND DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-4517
Mailing Address - Country:US
Mailing Address - Phone:910-346-2057
Mailing Address - Fax:
Practice Address - Street 1:1021 HARGETT ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540-5924
Practice Address - Country:US
Practice Address - Phone:910-219-1339
Practice Address - Fax:910-219-1228
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine