Individual
MEDINAH FALDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 BECKETT LN, SUITE # 506, FAYETTEVILLE, GA 30214-7155
(678) 817-9255
(678) 817-9295
Mailing address
PO BOX 161739, ATLANTA, GA 30321-1739
(678) 817-9255
(678) 817-9295
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
057310
GA
Other
Enumeration date
01/24/2008
Last updated
12/10/2012
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