Healthcare Provider Details

I. General information

NPI: 1265053714
Provider Name (Legal Business Name): MARGO FAULK MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2020
Last Update Date: 10/21/2024
Certification Date: 10/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1032 COLLEGE ST BLDG B
OXFORD NC
27565-2507
US

IV. Provider business mailing address

1032 COLLEGE ST BLDG B
OXFORD NC
27565-2507
US

V. Phone/Fax

Practice location:
  • Phone: 919-693-2141
  • Fax:
Mailing address:
  • Phone: 919-693-2141
  • Fax: 919-966-6126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2023-01862
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: