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Derrick Fullwood

NPI 1154656338 · on the registry since 2009 · sole proprietor

Practice

Address
4442 Bonnetsville Rd
Clinton, NC 28328
Phone
(919) 673-6332

Registry record

Primary taxonomy
251S00000X
251S00000X
Sex
Male
Record last updated
2009-10-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina