Individual
DR. CAMMIE JO FULP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1309 LEES CHAPEL RD, GREENSBORO, NC 27455-2601
(336) 800-8958
(336) 286-5583
Mailing address
1409 YANCEYVILLE ST STE B, GREENSBORO, NC 27405-6961
(743) 223-2033
(743) 223-4186
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9901530
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136TH
BCBSNC
NC
05
—
89136TH
—
NC
Enumeration date
05/31/2005
Last updated
11/14/2024
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