Individual
JAMES FULP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 GASTON AVE, TIFTON, GA 31794-2075
(229) 402-3164
(229) 423-7147
Mailing address
3 GASTON AVE, TIFTON, GA 31794-2075
(229) 402-3164
(229) 423-7147
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9767
GA
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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