Individual
JOSEPH FAPONLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 S GRACE ST, ROCKY MOUNT, NC 27804-5602
(410) 294-3365
Mailing address
115 S GRACE ST, ROCKY MOUNT, NC 27804-5602
(410) 294-3365
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86-3124078
—
NC
Enumeration date
11/01/2021
Last updated
11/01/2021
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