Individual
JONATHAN FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
(601) 276-3900
(601) 276-3938
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
(601) 276-3900
(601) 276-3938
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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