Organization
FAULL S. TROVER, M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAULL S TROVER M.D. (OWNER)
(770) 787-4122
Entity
Organization
Contact information
Practice address
4155 BAKER ST NE, SUITE 300, COVINGTON, GA 30014-1405
(770) 787-4122
(770) 787-4655
Mailing address
4155 BAKER ST NE, SUITE 300, COVINGTON, GA 30014-1405
(770) 787-4122
(770) 787-4655
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
042750
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007209B
—
GA
Enumeration date
01/31/2006
Last updated
08/22/2020
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