MR. Cory Mark Falde

NPI #1487021937 in Grovetown, Georgia

Provider Information

NPI Number: 1487021937
Entity Type: Individual
Name: MR. Cory Mark Falde
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Aug 31, 2015
Last Updated: Aug 31, 2015

Practice Location

Address: 2166 SYLVAN LAKE DR
City: Grovetown
State: Georgia
ZIP Code: 30813-5852
Phone: (912) 210-3688

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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