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1780048785
JACOB WAYNE FAULKNER
CALHOUN, GA
NPI
1780048785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: GA RN217024)
Enumeration Date
2016-04-06
Last Update Date
2016-04-06
Business Address
-- JACOB WAYNE FAULKNER AGACNP-BC
1035 RED BUD RD NE
CALHOUN, GA 30701-6010
Phone number: 706-602-7800
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Mailing Address
-- JACOB WAYNE FAULKNER AGACNP-BC
PO BOX 1344
COLLEGEDALE, TN 37315-1344
Phone number: 405-308-2913
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