Individual
JUWAN FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 MARTIN LUTHER KING JR. DR., 432 FL ATKINS BUILDING, WINSTON-SALEM, NC 27110
(336) 407-8263
Mailing address
601 MARTIN LUTHER KING JR. DR., 432 FL ATKINS BUILDING, WINSTON-SALEM, NC 27110
(336) 407-8263
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
07/08/2022
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