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Individual

CHRISTIAN WRIGHT FULENWIDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
321 MULBERRY ST SW, LENOIR, NC 28645-5720
(287) 575-5048
Mailing address
104 LINDEN ST, MORGANTON, NC 28655-3788
(828) 439-3144

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-11303
NC
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
05/27/2020
Last updated
09/29/2021
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