Provider Demographics
NPI:1356439517
Name:FALLS, CLAUDE T (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDE
Middle Name:T
Last Name:FALLS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1632
Mailing Address - Street 2:
Mailing Address - City:LINCOLNTON
Mailing Address - State:NC
Mailing Address - Zip Code:28093-1632
Mailing Address - Country:US
Mailing Address - Phone:704-735-3116
Mailing Address - Fax:704-735-5713
Practice Address - Street 1:501 N ASPEN ST
Practice Address - Street 2:
Practice Address - City:LINCOLNTON
Practice Address - State:NC
Practice Address - Zip Code:28092-2105
Practice Address - Country:US
Practice Address - Phone:704-735-3116
Practice Address - Fax:704-735-5713
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251342086S0122X, 208200000X, 2082S0105X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8931098Medicaid
NC8931098Medicaid
NC2163912BMedicare ID - Type Unspecified