Individual
COURTNEY STONE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
916 LOGANVILLE HWY, STE 1130, BETHLEHEM, GA 30620-2144
(404) 671-9525
(404) 671-9526
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-8907
(423) 954-7408
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008760
GA
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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