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KIMBERLY TILLMAN FULMER
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1780348060
Individual Registrant:
KIMBERLY TILLMAN FULMER
Gender: F
Not Sole Proprietor
Location and contact information for practice:
856 US HIGHWAY 1 S SWAINSBORO, GA 30401-4984 US
Tel: 478-237-7022 Fax: --
Contact information for business:
739 BURTON AVE METTER, GA 30439-3303 US
Tel: 912-690-2652 Fax: --
Registration Information:
NPI: 1780348060
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner
| GA | RN139827 |
Legacy codes, insurance codes and state license numbers:
HEALTH CARE JOBS GA - Page 1