Individual
DOROTHY LYNN FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
703 PALMETTO AVE, GREENVILLE, SC 29617-2823
(864) 905-2162
Mailing address
703 PALMETTO AVE, GREENVILLE, SC 29617-2823
(864) 905-2162
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18923
SC
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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