# ROSS FULCHER MS RNCS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235351008
- **Authorized official:** ROSS FULCHER APRN (OWNER)
- **Authorized official phone:** (843) 676-0200

## Contact information

- **Practice address:** 491A W CHEVES ST, FLORENCE, SC 29501-4446
- **Practice address phone:** (843) 676-0200
- **Practice address fax:** (843) 676-0200
- **Mailing address:** 491A W CHEVES ST, FLORENCE, SC 29501-4446
- **Mailing address phone:** (843) 676-0200
- **Mailing address fax:** (843) 676-0200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | R 43406 | SC | Yes |

## Other

- **Enumeration date:** 05/02/2007
- **Last updated:** 08/22/2020