Individual
MR. LAWRENCE R FAULK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2489 HAMLIN FLOYD RD, JEFFERSONVILLE, GA 31044-7908
(478) 962-0347
Mailing address
2489 HAMLIN FLOYD RD, JEFFERSONVILLE, GA 31044-7908
(478) 962-0347
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018734
GA
Other
Enumeration date
04/17/2009
Last updated
04/17/2009
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