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1720268394
ANDREW G FULP
WINSTON SALEM, NC
NPI
1720268394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-03859)
Enumeration Date
2007-11-12
Last Update Date
2016-06-02
Business Address
-- ANDREW G FULP PA-C
170 KIMEL PARK DR
WINSTON SALEM, NC 27103-6946
Phone number: 704-323-2000
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Mailing Address
-- ANDREW G FULP PA-C
4601 PARK RD SUITE 300
CHARLOTTE, NC 28209-3239
Phone number: 704-323-2000
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