Individual
JAMIE FULP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1495 KENNEDY RD, TIFTON, GA 31794-4159
(229) 402-7833
Mailing address
1495 KENNEDY RD, TIFTON, GA 31794-4159
(229) 402-7833
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO09605
GA
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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