Individual
SUSAN E FULMER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2701 MEREDYTH DR, ALBANY, GA 31707-2267
(229) 883-7010
(229) 430-9220
Mailing address
2701 MEREDYTH DR, ALBANY, GA 31707-2267
(229) 883-7010
(229) 430-9220
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R033437
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00560634A
—
GA
Enumeration date
08/30/2005
Last updated
07/08/2007
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