Organization
WADE FAULKNER, MD, PC
Active
Other names
VisionAmerica
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY WADE FAULKNER M.D. (OWNER/PRESIDENT)
(251) 471-3309
Entity
Organization
Contact information
Practice address
3290 DAUPHIN ST, SUITE 401, MOBILE, AL 36606-4062
(251) 471-3309
(251) 471-5046
Mailing address
250 STATE FARM PKWY, BIRMINGHAM, AL 35209-7181
(205) 943-4650
(205) 943-4688
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740210822
—
AL
05
—
529919050
—
AL
01
—
DB0731
RR MEDICARE PGBA
—
Enumeration date
07/04/2006
Last updated
06/12/2008
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