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NPI Code Detail

MEDICARE: DR. GEORGE C. FAISON M.D.

MEDICARE: DR. GEORGE C. FAISON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician00017473AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154387173
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE C. FAISON M.D.
Provider Business Mailing Address
First Line : PO BOX 757
Second Line :
City : FLORENCE
State : AL
Zip : 35631-0757
Country : US
Telephone Number : 256-764-9697
Fax Number : 256-764-9699
Provider Business Practice Location Address
First Line : 1201 7TH ST SE
Second Line :
City : DECATUR
State : AL
Zip : 35601-3337
Country : US
Telephone Number : 256-973-2000
Fax Number : 256-350-2609
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 01/30/2020

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Directions to “ DR. GEORGE C. FAISON M.D.” Practice Location

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