Individual
AUSTIN FULCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
335 OLD RAIL RD, BLOOMINGDALE, GA 31302-4025
(912) 421-0140
Mailing address
891 OLD DIXIE HWY S, SPRINGFIELD, GA 31329-4014
(912) 856-2580
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA003148
GA
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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