Individual
DEBBIE FULLER-OLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
835 BELMAR PASS, FAIRBURN, GA 30213-4482
(757) 663-2900
Mailing address
835 BELMAR PASS, FAIRBURN, GA 30213-4482
(757) 663-2900
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
07/21/2022
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