Search › South Carolina › 133NN1002X
Shacovia Fulton
NPI 1942899018 · on the registry since 2021
Practice
- Address
- 914 2nd Ave Apt A
Kingstree, SC 29556 - Phone
- (843) 372-4621
Registry record
- Primary taxonomy
- 133NN1002X
133NN1002X
- Also registered as
- 133NN1002X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-13
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