Provider Demographics
NPI:1699897066
Name:FAULKS, CARL ALVIN (MD)
Entity type:Individual
Prefix:DR
First Name:CARL
Middle Name:ALVIN
Last Name:FAULKS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2141 HOFFMEYER RD STE A
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-4077
Mailing Address - Country:US
Mailing Address - Phone:843-992-9226
Mailing Address - Fax:843-992-9226
Practice Address - Street 1:2141 HOFFMEYER RD STE A
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-4077
Practice Address - Country:US
Practice Address - Phone:843-992-9226
Practice Address - Fax:843-992-9226
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MS19646207RA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine