Search › South Carolina › 367500000X
Mimi Fuller, CNA
NPI 1326155128 · on the registry since 2006
Practice
- Address
- 735 E Main Street
Spartanburg, SC 29302 - Phone
- (864) 542-1308
- Organisation at this address
- Eastside Eye Center Pa
Tlc The Laser Center (Institute) Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 367500000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-10-25
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 South Carolina