Organization
REBECCA A FOULK MD PC
Active
Other names
South Royalton Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA ANN FOULK MD (PRESIDENT DIRECTOR)
(802) 763-7575
Entity
Organization
Contact information
Practice address
79 SOUTH WINDSOR STREET, SOUTH ROYALTON, VT 05068
(802) 763-7575
(802) 763-2190
Mailing address
PO BOX 119, SOUTH ROYALTON HEALTH CENTER, SOUTH ROYALTON, VT 05068
(802) 763-7575
(802) 763-2190
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011095
—
VT
05
—
30214261
—
NH
Enumeration date
07/18/2006
Last updated
08/22/2020
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