Most Relevant Information
Provider Data
| NPI Number: | 1003378654 |
| Provider Name: | ELLEN A FAULK MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2085R0202X |
| Specialty: | Radiology |
| License Number: | 0101281288 |
Most Important Dates
| Enumeration Date: | 04/03/2019 |
| Last Updated: | 07/01/2024 |
Provider Practice Location
1215 LEE ST
CHARLOTTESVILLE
VA
229080816
Practice Location Phone/Fax
| Phone: | 4349249400 |
| Fax: |
Provider Mailing Location
PO BOX 749112
ATLANTA
GA
303749112
Provider Mailing Phone/Fax
| Phone: | 4342951000 |
| Fax: |