Provider Demographics
NPI:1154857910
Name:TOMBLIN, FAITH (RDCS)
Entity Type:Individual
Prefix:MISS
First Name:FAITH
Middle Name:
Last Name:TOMBLIN
Suffix:
Gender:F
Credentials:RDCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 CREEKSHIRE WAY
Mailing Address - Street 2:APT 210
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-3085
Mailing Address - Country:US
Mailing Address - Phone:828-429-9066
Mailing Address - Fax:
Practice Address - Street 1:1315 CREEKSHIRE WAY
Practice Address - Street 2:APT 210
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-3085
Practice Address - Country:US
Practice Address - Phone:828-429-9066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography