Individual
CHARLIE MICAH FAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12200 WARWICK BLVD, SUITE 480, NEWPORT NEWS, VA 23601-2344
(757) 534-5660
(757) 534-5687
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
0101029830
VA
Other
Enumeration date
10/30/2006
Last updated
01/05/2016
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