Individual
BRIA MICHELLE FULLERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3672 MARATHON CIR, AUSTELL, GA 30106-6821
(770) 944-3303
Mailing address
3672 MARATHON CIR, AUSTELL, GA 30106-6821
(770) 944-3303
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014889
GA
Other
Enumeration date
09/28/2020
Last updated
02/27/2025
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