Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. CHRISTY LATASHA FULLER, LMT
Active Sole ProprietorMRS. CHRISTY LATASHA FULLER, LMT is a Exclusive Provider Organization healthcare provider located in DECATUR, Georgia. NPI 1063852630 is currently active in the NPPES registry. Verify at CMS.
Exclusive Provider Organization · DECATUR, GA
Registration Details
- NPI Number
- 1063852630
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 27, 2013 (13.149303742201 yrs)
- Last Updated
- Jun 27, 2013
- License
-
MT008977 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2288 MIRIAM LNDECATUR, GA, 300325551Browse GA providers · Browse ZIP 30032
- Phone
- 4043438848
- Primary Specialty
-
Exclusive Provider Organization
302F00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.