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1053864611
AMY FULTS
SMITHVILLE, TN
NPI
1053864611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 21494)
Enumeration Date
2016-08-01
Last Update Date
2016-08-01
Business Address
-- AMY FULTS FNP-C
516 W MAIN ST STE C
SMITHVILLE, TN 37166-1142
Phone number: 615-597-4049
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Mailing Address
-- AMY FULTS FNP-C
516 W MAIN ST STE C
SMITHVILLE, TN 37166-1142
Phone number: 615-597-4049
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