TIFFANY CASE FULLER

COLUMBIA, SC
NPI1538791686
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: SC  24074)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-02-06
Last Update Date2021-01-26
Business Address
TIFFANY CASE FULLER
14 RICHLAND MEDICAL PARK DR STE 320
COLUMBIA, SC 29203-6896
Phone number: 803-434-6771
Mailing Address
TIFFANY CASE FULLER
PO BOX 743904
ATLANTA, GA 30374-3904
Phone number: