Individual
CLARENCE L FAULCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 S FAYETTEVILLE ST, SALEMBURG, NC 28385-8406
(910) 525-5515
(910) 525-5545
Mailing address
PO BOX 227, NEWTON GROVE, NC 28366-0227
(910) 567-6194
(910) 567-5342
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30334
NC
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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