Individual
MR. CARLTON TRENT FAULK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MEDICAL DOCTOR
Contact information
Practice address
150 INTERSTATE SOUTH DR, SUITE 100, JASPER, GA 30143
(706) 253-3376
(706) 253-3223
Mailing address
150 INTERSTATE SOUTH DR, SUITE 100, JASPER, GA 30143
(706) 253-3376
(706) 253-3223
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
033322
GA
Other
Enumeration date
04/26/2006
Last updated
02/04/2014
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