Individual
ELISHA C FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1370 RUTLEDGE LN, UNION CITY, TN 38261-8655
(731) 389-9800
Mailing address
1370 RUTLEDGE LN, UNION CITY, TN 38261-8655
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
614
TN
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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