Individual
ABIGAIL FAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
64 STOCKADE RD, SUMMERVILLE, GA 30747-1900
(706) 857-2323
(706) 857-7041
Mailing address
9 PIPPIN PL NE, ROME, GA 30165-9158
(785) 554-3872
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014417
GA
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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