Individual
ANNA LEE FAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, BCGP
Contact information
Practice address
342 INDUSTRIAL BLVD, HAWKINSVILLE, GA 31036-2103
(478) 783-1515
Mailing address
415 DOLLY DR, JEFFERSONVILLE, GA 31044-6951
(478) 960-5067
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
RPH022693
GA
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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