Individual
MS. AMBER LEA FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT ATC
Contact information
Practice address
2716 ASHTON DRIVE, WILMINGTON, NC 28412-2489
(910) 763-8184
Mailing address
321 DISNEY DRIVE, WILMINGTON, NC 28409
(910) 763-8184
(910) 815-2974
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0515
NC
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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