Search › Georgia › 363LN0005X
Lacey Faircloth
NPI 1619565827 · on the registry since 2021
Practice
- Address
- 2885 Nowell Dr
Macon, GA 31216 - Phone
- (478) 633-1299
Additional practice sites
- 888 Pine St, Macon, GA
Registry record
- Primary taxonomy
- 363LN0005X
363LN0005X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia