Individual
DR. KATHRYN FULGHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2227 US HIGHWAY 41 N, TIFTON, GA 31794-2749
(229) 353-6188
Mailing address
PO BOX 7508, TIFTON, GA 31793-7508
(229) 386-5201
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012823
GA
Other
Enumeration date
04/21/2017
Last updated
09/12/2018
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