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Individual

KESHIA FAULK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
853 BATTLECREEK RD, JONESBORO, GA 30236-1919
(770) 478-1099
Mailing address
737 PRESTON CREEK DR, MCDONOUGH, GA 30253-8980

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN218271
GA

Other

Enumeration date
06/07/2013
Last updated
06/07/2013
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