Healthcare Provider Details

I. General information

NPI: 1255309878
Provider Name (Legal Business Name): FRANCIS JOSEPH FALBO III M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2656 LONE IVY RD
STUART VA
24171-5370
US

IV. Provider business mailing address

PO BOX 5
WOOLWINE VA
24185-0005
US

V. Phone/Fax

Practice location:
  • Phone: 276-444-0017
  • Fax: 931-490-1062
Mailing address:
  • Phone: 276-444-0017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number42242
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number30140
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number2012-01433
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101249176
License Number StateVA
# 5
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number30140
License Number StateTN
# 6
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2012-01433
License Number StateNC
# 7
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number18622
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: