Individual
DR. JHENELLE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1046 AVALON PKWY, MCDONOUGH, GA 30253-7661
(770) 329-8613
Mailing address
1046 AVALON PKWY, MCDONOUGH, GA 30253-7661
(770) 329-8613
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010353
GA
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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