Individual
DR. CLINTON FORREST FAISON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 JOHN PAUL JONES CIRCLE, NAVAL MEDICAL CENTER PORTSMOUTH, PORTSMOUTH, VA 23708-2197
(757) 953-7424
(757) 953-5104
Mailing address
208 WEXFORD CT, CHESAPEAKE, VA 23322-4286
(757) 953-7424
(757) 953-5104
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29250-020
WI
2080P0006X
Developmental - Behavioral Pediatrics Physician
29250-020
WI
Other
Enumeration date
02/16/2006
Last updated
09/11/2025
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