Individual
WHITLEY FULP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(704) 638-9000
Mailing address
1510 BROOKFORD RD, KERNERSVILLE, NC 27284-9455
(336) 782-0798
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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