REBECCA FULLAM

COLUMBIA, SC
NPI1750396388
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: SC  APN2647)
Enumeration Date2006-07-30
Last Update Date2007-07-08
Business Address
-- REBECCA FULLAM NP
2001 LAUREL ST
COLUMBIA, SC 29204-1018
Phone number: 803-254-3278
Mailing Address
-- REBECCA FULLAM NP
2001 LAUREL ST
COLUMBIA, SC 29204-1018
Phone number: 803-254-3278