Individual
JAIME GAIL FULCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
966 W PACES FERRY RD NW, ATLANTA, GA 30327-2648
(404) 281-8827
Mailing address
2383 AKERS MILL RD SE, APT. U13, ATLANTA, GA 30339-2503
(404) 281-8827
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001096
GA
Other
Enumeration date
06/19/2006
Last updated
07/08/2007
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