Individual
CLAYBORNE FULCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
247 S MAIN ST, REIDSVILLE, GA 30453-4605
(912) 664-5303
Mailing address
6605 ABERCORN ST, SUITE 108, SAVANNAH, GA 31405-5815
(912) 355-7214
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN191624
GA
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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