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Vickie Fulwider

NPI 1871882050 · on the registry since 2011 · sole proprietor

Practice

Address
591 Seneca Ct Se
Conyers, GA 30094
Phone
(404) 447-7939

Registry record

Primary taxonomy
347C00000X
347C00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-03-28

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 Georgia