Individual
SIMEON MARCUS FULCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, SUITE BP 2109, AUGUSTA, GA 30912-0004
(706) 721-4263
(706) 721-6001
Mailing address
706 SOMERSET WAY, AUGUSTA, GA 30909-3131
(706) 737-6603
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
045795
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00797508A
—
GA
Enumeration date
08/22/2006
Last updated
08/08/2014
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