Provider Demographics
NPI:1689395246
Name:RAYMOND S FABER, MD PC
Entity Type:Organization
Organization Name:RAYMOND S FABER, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:FABER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-444-6680
Mailing Address - Street 1:33034 MAYBERRY DR
Mailing Address - Street 2:
Mailing Address - City:GLADE SPRING
Mailing Address - State:VA
Mailing Address - Zip Code:24340-5458
Mailing Address - Country:US
Mailing Address - Phone:423-444-6680
Mailing Address - Fax:
Practice Address - Street 1:468 E MAIN ST # 317A
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24210-3497
Practice Address - Country:US
Practice Address - Phone:276-477-1430
Practice Address - Fax:276-477-1430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty