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Individual

DR. RENEE ANNETTE FULBRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2525 COURT DR, DEPARTMENT OF EMERGENCY MEDICINE GASTON MEMORIAL HOSP., GASTONIA, NC 28054-2140
(704) 834-2266
Mailing address
3748 TEA OLIVE DR, GASTONIA, NC 28056-6100
(704) 865-4317

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
200300619
NC

Other

Enumeration date
02/06/2007
Last updated
06/23/2009
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