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Individual

CHARMAINE L FAUCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
55 WHITCHER STREET, SUITE 130, MARIETTA, GA 30060
(770) 590-1078
(770) 422-7306
Mailing address
4798 DEER RUN NW, KENNESAW, GA 30152
(770) 794-4423

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003932
GA

Other

Enumeration date
08/08/2006
Last updated
07/08/2007
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