SearchGeorgia1835P0018X

Mark Faulkner

NPI 1679172712 · on the registry since 2020 · sole proprietor

Practice

Address
730 N Main St
Cedartown, GA 30125
Phone
(770) 749-5095
Fax
(770) 749-0228
Organisation at this address
The Kroger Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
1835P0018X
1835P0018X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-29

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