Provider Demographics
NPI:1295496008
Name:FAUST, RHONDA
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:FAUST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 PINEBARK CV
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:MS
Mailing Address - Zip Code:39047-4447
Mailing Address - Country:US
Mailing Address - Phone:601-421-4215
Mailing Address - Fax:
Practice Address - Street 1:506 PINEBARK CV
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:MS
Practice Address - Zip Code:39047-4447
Practice Address - Country:US
Practice Address - Phone:601-421-4215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle