Clarence L Faulcon, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

30334 Issued in NC

Practice address

500 S Fayetteville St
Salemburg, NC 28385-8406

Phone

(910) 525-5515

Fax

(910) 525-5545

NPI assigned

Jul 12, 2007

Last updated

Jul 12, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1275732158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 227",
            "city": "NEWTON GROVE",
            "state": "NC",
            "postal_code": "283660227",
            "telephone_number": "910-567-6194",
            "fax_number": "910-567-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S FAYETTEVILLE ST",
            "city": "SALEMBURG",
            "state": "NC",
            "postal_code": "283858406",
            "telephone_number": "910-525-5515",
            "fax_number": "910-525-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULCON",
        "first_name": "CLARENCE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "30334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Salemburg, NC
• Providers in Salemburg, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.