Individual
TERESA R FULFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 BARSHAY DR, COVINGTON, GA 30016-0961
(404) 904-2370
Mailing address
75 BARSHAY DR, COVINGTON, GA 30016-0961
(404) 904-2370
Taxonomy
Speciality
Code
Description
License number
State
1744R1103X
Research Study Abstracter/Coder
Primary
—
—
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
09/09/2021
Last updated
07/16/2024
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