Individual
LINDA GRAY FAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
5521 COLONIAL CHATSWORTH CIR, N CHARLESTON, SC 29418-2752
(336) 394-2216
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
SC
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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