Individual
ELLIE FULMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 BROZZINI CT, GREENVILLE, SC 29615-5340
(866) 850-6585
Mailing address
132 BAGWELL FARM RD, SPARTANBURG, SC 29302-4451
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
266478
SC
Other
Enumeration date
10/22/2025
Last updated
10/24/2025
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