# REBECCA A FOULK MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Royalton Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003834664
- **Authorized official:** DR. REBECCA ANN FOULK MD (PRESIDENT DIRECTOR)
- **Authorized official phone:** (802) 763-7575

## Contact information

- **Practice address:** 79 SOUTH WINDSOR STREET, SOUTH ROYALTON, VT 05068
- **Practice address phone:** (802) 763-7575
- **Practice address fax:** (802) 763-2190
- **Mailing address:** PO BOX 119, SOUTH ROYALTON HEALTH CENTER, SOUTH ROYALTON, VT 05068
- **Mailing address phone:** (802) 763-7575
- **Mailing address fax:** (802) 763-2190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | Yes |
| 208000000X | Pediatrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1011095 | — | VT |
| 05 | — | 30214261 | — | NH |