Individual
MR. DAVID J FAULK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1606 GLOUCESTER ST, BRUNSWICK, GA 31520-7145
(912) 265-0644
(912) 265-0644
Mailing address
1606 GLOUCESTER ST, BRUNSWICK, GA 31520-7145
(912) 265-0644
(912) 265-0644
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
039787
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000659117A
—
GA
05
—
000659117C
—
GA
Enumeration date
06/30/2006
Last updated
12/20/2016
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