Individual
MR. WILLIAM BROOKS FULP JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT, MMP
Contact information
Practice address
3063 WALKERTOWN VIEW DR, WALKERTOWN, NC 27051-9815
(336) 595-1222
Mailing address
3063 WALKERTOWN VIEW DR, P.O. BOX 1311, WALKERTOWN, NC 27051-9815
(336) 595-1222
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10155
NC
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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