Individual
ELEANOR RILEY FULMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1699 GARDEN ST, CHARLESTON, SC 29407-6907
(843) 763-1507
Mailing address
1699 GARDEN ST, CHARLESTON, SC 29407-6907
(843) 763-1507
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
89417SC
SC
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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