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Individual

MR. JEFFREY JAMES FAULK JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
889 SHERWOOD LN, STATESVILLE, NC 28677-4183
(704) 881-0088
(704) 881-0087
Mailing address
889 SHERWOOD LN, STATESVILLE, NC 28677-4183
(704) 881-0088
(704) 881-0087

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
4363
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7207891
NC
Enumeration date
10/26/2006
Last updated
03/22/2011
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