Catherine Faulk
M.D. | Pediatric Emergency Medicine | Female
Catherine Faulk, M.D. is a Jackson, Mississippi based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Catherine Faulk is
2500 N State St, Jackson, Mississippi - 39216-4500. She can be contacted on phone at
601-984-2195.
Catherine Faulk is a sole proprietor of her business.
NPI number (Unique professional ID) for Catherine Faulk is
1184723280 which was assigned by NPPES on 22 Sep, 2006 and it was last updated on 01 Apr, 2014.
Catherine Faulk license number is
15519 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Mississippi.
Catherine Faulk has special qualifications to manage emergencies in infants and children.
Complete Profile:
Catherine Faulk basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Catherine Faulk |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Catherine Faulk address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2500 N State St
Jackson, MS, 39216-4500
United States |
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| Phone Number : | 601-984-2195 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1184723280 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 Sep, 2006 |
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| Last Updated On : | 01 Apr, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Catherine Faulk are as mentioned. Primary taxonomy code for Catherine Faulk, M.D. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 15519 | MS |
Legacy Identifiers:
Other legacy medical identifiers of Catherine Faulk such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 157389 | MEDICAID | AL | |
| 00120599 | MEDICAID | MS | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2500 N State St
Jackson, MS, 39216-4500
United States |
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| Phone Number : | 601-984-2195 |
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Business Location:
Patients can refer following map for directions to
Catherine Faulk practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.