Individual
CHERE LYNN FULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2055 E SOUTH BLVD, MONTGOMERY, AL 36116-2001
(334) 286-2390
(334) 286-2397
Mailing address
2055 E SOUTH BLVD, MONTGOMERY, AL 36116-2003
(334) 286-2390
(334) 286-2397
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00027069
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009938457
—
AL
01
—
051003798
BLUE CROSS BLUE SHIELD
AL
01
—
203204949
UNITED HEALTHCARE
AL
01
—
P00384687
RAILROAD MEDICARE
AL
Enumeration date
05/02/2006
Last updated
04/09/2008
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