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Individual

JAMIE LYNNE FULTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
55 HOSPITAL DR, ATHENS, OH 45701-2302
(740) 592-9334
(740) 592-9286
Mailing address
55 HOSPITAL DR, ATHENS, OH 45701-2302
(740) 592-9334
(740) 592-9286

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
2019-02848
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/14/2015
Last updated
12/22/2019
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