Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TERESA R FULFORD
Active Sole ProprietorTERESA R FULFORD is a 1744R1103X healthcare provider located in COVINGTON, Georgia. NPI 1114696481 is currently active in the NPPES registry. Verify at CMS.
1744R1103X · COVINGTON, GA
Registration Details
- NPI Number
- 1114696481
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 9, 2021 (4.9657588996283 yrs)
- Last Updated
- Jul 16, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
75 BARSHAY DRCOVINGTON, GA, 300160961Browse GA providers · Browse ZIP 30016
- Phone
- 4049042370
- Primary Specialty
-
1744R1103X
1744R1103X
- Additional Specialty
- 1744R1103X
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.