Organization
DAVID J FAULK MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FAULK MD (OWNER)
(912) 510-0669
Entity
Organization
Contact information
Practice address
100 MARINERS DR STE D, KINGSLAND, GA 31548-6667
(912) 510-0669
Mailing address
100 MARINERS DR STE D, KINGSLAND, GA 31548-6667
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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