Individual
BRADFORD K FAULKENBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1707 BERWICK DR, LAURINBURG, NC 28352-5543
(910) 276-2439
(910) 276-2404
Mailing address
1707 BERWICK DR, LAURINBURG, NC 28352-5543
(910) 276-2439
(910) 276-2404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32360
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8931376
—
NC
Enumeration date
05/04/2006
Last updated
04/11/2008
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