Individual
CHARLES J FULP JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 PARKWAY NORTH, CANCER TREATMENT CENTERS OF AMERICA, NEWNAN, GA 30265
(770) 400-6000
(404) 256-3271
Mailing address
600 PARKWAY NORTH, CANCER TREATMENT CENTERS FOR AMERICA, NEWNAN, GA 30265
(404) 250-6797
(404) 256-3271
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
031917
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000428491A
—
GA
Enumeration date
01/11/2006
Last updated
04/24/2014
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