Individual
MR. CORY MARK FALDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2166 SYLVAN LAKE DR, GROVETOWN, GA 30813-5852
(912) 210-3688
Mailing address
2166 SYLVAN LAKE DR, GROVETOWN, GA 30813-5852
(912) 210-3688
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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