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NPI Code Detail

MEDICARE: WESLEY FAUCHER CNIM

MEDICARE: WESLEY FAUCHER CNIM
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
1246ZE0600XElectroneurodiagnostic Specialist/Technologist

General Provider Information

NPI Number : 1285943944
Entity Type Code : Individual
Provider Name (Legal Business Name) : WESLEY FAUCHER CNIM
Provider Business Mailing Address
First Line : 3290 NORTHSIDE PKWY NW
Second Line : SUITE 300
City : ATLANTA
State : GA
Zip : 30327-2273
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3290 NORTHSIDE PKWY NW
Second Line : SUITE 300
City : ATLANTA
State : GA
Zip : 30327-2273
Country : US
Telephone Number : 877-377-9555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2010
Last Update Date : 09/29/2010

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Directions to “ WESLEY FAUCHER CNIM” Practice Location

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