Individual
CATHY JEAN FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6586 HWY 40, SAINT MARYS, GA 31558-4039
(912) 464-4986
(912) 510-9202
Mailing address
6586 HWY 40, SAINT MARYS, GA 31558-4039
(912) 464-4986
(912) 510-9202
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
GA
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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