NPI 1003378654

Ellen a Faulk, MD

Practitioner Diagnostic Radiology Physician Charlottesville, VA

Practice location

Address: 1215 Lee St, Charlottesville, VA 22908-0816
Phone: (434) 924-9400
Mailing address: PO Box 749112, Atlanta, GA 30374-9112

Registered specialties (2)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 0101281288 (VA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003378654
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Apr 2019
Record last updated: 1 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.