Individual
CARLEY FULGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5713 U.S. 45 ALTERNATE SOUTH, WEST POINT, MS 39773-0414
(662) 854-9012
Mailing address
1286 STATE LINE RD, ETHELSVILLE, AL 35461-2939
(205) 399-8240
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
906766
MS
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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