Individual
WENDY S FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
551 N CHEROKEE RD, SOCIAL CIRCLE, GA 30025-2887
(678) 342-6000
(678) 342-6006
Mailing address
551 N CHEROKEE RD, SOCIAL CIRCLE, GA 30025-2887
(678) 342-6000
(678) 342-6006
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN082682 NP
GA
Other
Enumeration date
04/17/2006
Last updated
07/21/2022
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