Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHACOVIA BONE'T FULTON
ActiveNutrition, Education · KINGSTREE, SC
Registration Details
- NPI Number
- 1942899018
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 13, 2021 (5.3136436483164 yrs)
- Last Updated
- Jan 13, 2021
Practice Information
- Address
-
914 2ND AVE APT AKINGSTREE, SC, 295562930Browse SC providers · Browse ZIP 29556
- Phone
- 8433724621
- Primary Specialty
-
Nutrition, Education
133NN1002X
- Additional Specialty
- Nutrition, Education
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.