Individual
DIXIE LYNN FULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
216 MOORE RD, KING, NC 27021-8703
(336) 983-4346
(336) 985-5101
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 983-4346
(336) 985-5101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001014530
NC
Other
Enumeration date
08/30/2024
Last updated
11/13/2024
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