DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CARLTON TRENT FAULK, MEDICAL DOCTOR

Active Sole Proprietor

MR. CARLTON TRENT FAULK, MEDICAL DOCTOR is a Dermatology healthcare provider located in JASPER, Georgia. NPI 1518923549 is currently active in the NPPES registry. Verify at CMS.

Dermatology · JASPER, GA

Registration Details

NPI Number
1518923549
Provider Type
Individual
Gender
Male
NPI Issued
Apr 26, 2006 (20.334841196557 yrs)
Last Updated
Feb 4, 2014
License
033322 (GA)
Sole Proprietor
Yes

Practice Information

Address
150 INTERSTATE SOUTH DR
SUITE 100
JASPER, GA, 30143
Browse GA providers · Browse ZIP 30143
Phone
7062533376
Fax
7062533223
Primary Specialty
Dermatology
207N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.