Individual
FAULL SANDERS TROVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4155 BAKER ST NE, COVINGTON, GA 30014-1405
(770) 787-4122
(770) 787-4655
Mailing address
4155 BAKER ST NE, COVINGTON, GA 30014-1405
(770) 787-4122
(770) 787-4655
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042750
GA
Other
Enumeration date
08/10/2005
Last updated
07/08/2007
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