Search › North Carolina › 101YM0800X
Xavier Fullerton, LPC-A, CRC
NPI 1215490966 · on the registry since 2019
Practice
- Address
- 140 Kimel Park Dr Ste 101
Winston Salem, NC 27103 - Phone
- (336) 718-7280
- Fax
- (336) 718-7290
- Organisation at this address
- Novant Medical Group Inc
Novant Medical Group Inc
Forsyth Memorial Hospital, Inc
Novant Health Medical Group, Llc
Novant Health Medical Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 33
Additional practice sites
- 120 Health Center Dr, Ahoskie, NC
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YP2500X
225C00000X - Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-23
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