Vickie Lorraine Fulwider Valid NPI
Individual provider · Private Vehicle · Conyers, GA
- NPI
- 1871882050
- Type
- Individual (Type 1)
- Primary specialty
- Private Vehicle
- Specialty group
- Transportation Services
- Taxonomy code
- 347C00000X
- License number
- 049845500 (GA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2011-03-28
- Last updated
- 2011-03-28
Practice location
591 Seneca Ct Se
Conyers, GA 30094-2648
(404) 447-7939