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Organization

DAVID J FAULK MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID J FAULK M.D. (OWNER)
(912) 265-7382
Entity
Organization

Contact information

Practice address
1606 GLOUCESTER ST, BRUNSWICK, GA 31520-7145
(912) 265-7382
(912) 265-7383
Mailing address
118 ARTHUR J MOORE DR, ST SIMONS ISLAND, GA 31522-2238
(912) 265-0644
(912) 265-7383

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
039787
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000659117A
GA
05
000659117C
GA
05
000659117D
GA
Enumeration date
08/14/2006
Last updated
02/08/2021
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