Individual
JIMBOB FAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4230 HARDING PIKE STE 705, NASHVILLE, TN 37205-2013
(615) 385-1547
(615) 297-9161
Mailing address
4230 HARDING PIKE STE 400, NASHVILLE, TN 37205-4900
(615) 385-1547
(615) 297-9161
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35500
TN
2086S0129X
Vascular Surgery Physician
Primary
35500
TN
2086S0129X
Vascular Surgery Physician
61800
KY
Other
Enumeration date
07/07/2005
Last updated
03/24/2026
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