Individual
DEBORAH E. FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 WILOAKS DR APT B, SNELLVILLE, GA 30039-7406
(404) 839-2109
Mailing address
118 ALBANY ST, MORVEN, GA 31638-2339
(404) 839-2109
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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