TERRENCE MALCOLM FULLUM

WASHINGTON, DC
NPI1497861942
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: DC  MD15597)
Additional Taxonomies208600000X Surgery
(Licence: MD  D39720)
Enumeration Date2006-08-21
Last Update Date2019-12-06
Business Address
TERRENCE MALCOLM FULLUM MD
2041 GEORGIA AVE NW
WASHINGTON, DC 20060
Phone number: 202-865-1286
Mailing Address
TERRENCE MALCOLM FULLUM MD
2041 GEORGIA AVE NW TOWER 6101
WASHINGTON, DC 20060-0001
Phone number:
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