Individual
MR. MIKO FULMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
145 E CHEVES ST, FLORENCE, SC 29506-2526
(843) 617-9556
Mailing address
PO BOX 6694, FLORENCE, SC 29502-6694
(843) 344-2293
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
210923
SC
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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