Individual
REBECCA C. FAULK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1003 BELLEVIEW ST, COLUMBIA, SC 29201-1807
(803) 255-0174
Mailing address
1003 BELLEVIEW ST, COLUMBIA, SC 29201-1807
(803) 255-0174
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2543
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1222
—
SC
Enumeration date
05/19/2006
Last updated
07/09/2007
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