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Medinah Faldon, MD

Internal Medicine in Fayetteville, GA. Individual provider (NPI-1).

NPI number1881871663
StatusActive
Last updated in NPPESDec 10, 2012

Details

NPI
1881871663
Entity type
Individual (NPI-1)
Name
Medinah Faldon
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 24, 2008
Last updated
Dec 10, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine057310GAYes

Practice location

101 Beckett Ln
Suite # 506
Fayetteville, GA 30214-7155

Phone 678-817-9255 · Fax 678-817-9295

Mailing address

Po Box 161739
Atlanta, GA 30321-1739

Phone 678-817-9255 · Fax 678-817-9295

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