Individual
MS. PATSY FULGHUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
1705 W EVANS ST, FLORENCE, SC 29501-3331
(843) 661-4762
Mailing address
1705 W EVANS ST, FLORENCE, SC 29501-3331
(843) 661-4762
Taxonomy
Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
14381
SC
163WE0900X
Enterostomal Therapy Registered Nurse
Primary
14381
SC
163WH0200X
Home Health Registered Nurse
14381
SC
163WW0000X
Wound Care Registered Nurse
14381
SC
163WX1500X
Ostomy Care Registered Nurse
14381
SC
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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