Organization Name: | FAULK MEDICAL SERVICES, INC. |
NPI Number: | 1396807780 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRUCE MICHAEL FAULK (PRESIDENT) |
Mailing Address: | 303 S Jefferson Ave Eatonton |
State: | GA US |
Postal Code: | 310241129 |
Phone Number: | 7064856262 |
Fax Number: | |
NPI Enumeration Date: | 12/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 005813 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | GA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |