Individual
HANNAH FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 BRAY ST, ATHENS, GA 30601-2203
(855) 333-9544
Mailing address
150 WESTPARK DR APT 410, ATHENS, GA 30606-7227
(770) 287-4387
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN223604
GA
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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