Organization
FULMER CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONNIE D. FULMER (CHIROPRACTIC PHYSICIAN)
(423) 726-2668
Entity
Organization
Contact information
Practice address
150 CLINIC DR STE C, KINGSPORT, TN 37663-2254
(423) 726-2668
(423) 726-2667
Mailing address
PO BOX 6024, KINGSPORT, TN 37663-1024
(423) 726-2668
(423) 726-2667
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0000002577
TN
111N00000X
Chiropractor
Primary
1206
MS
Other
Enumeration date
07/05/2012
Last updated
04/15/2019
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