Individual
LINDA FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4861 BILL GARDNER PKWY, SUITE 100, LOCUST GROVE, GA 30248-3644
(770) 626-5740
(770) 626-5750
Mailing address
9020 PERIDOT PKWY, STOCKBRIDGE, GA 30281-9417
(770) 626-5580
(770) 692-4754
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
069262
GA
Other
Enumeration date
12/12/2006
Last updated
07/06/2010
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