David J Faulk Md | |
100 Mariners Dr Ste D Kingsland GA 31548-6667 | |
(912) 510-0669 | |
Not Available |
Full Name | David J Faulk Md |
---|---|
Speciality | Community/behavioral Health |
Location | 100 Mariners Dr Ste D, Kingsland, Georgia |
Authorized Official Name and Position | David Faulk (OWNER) |
Authorized Official Contact | 9125100669 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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David J Faulk Md 100 Mariners Dr Ste D Kingsland GA 31548-6667 Ph: () - | David J Faulk Md 100 Mariners Dr Ste D Kingsland GA 31548-6667 Ph: (912) 510-0669 |
NPI Number | 1255997458 |
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Provider Enumeration Date | 05/13/2019 |
Last Update Date | 05/13/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255997458 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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