Individual
MR. CHARLES GUILLERMO FAULDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
62 SKYLAND SPRUCE DR, FORT STEWART, GA 31315-1791
(470) 262-0912
Mailing address
62 SKYLAND SPRUCE DR, FORT STEWART, GA 31315-1791
(470) 262-0912
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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