NPI 1013365659

Reginald Fulwiley

Practitioner Home Health Aide West Point, MS

Practice location

Address: 229 West Main St Suite 12 3rd Fl, West Point, MS 39350-0245
Phone: (318) 331-3619
Fax: (601) 510-9052
Mailing address: PO Box 245, Philadelphia, MS 39350

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X Licence R857836 (MS)

Other Home Health Aide providers in Mississippi →

Registry record

NPI: 1013365659
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 May 2016
Record last updated: 24 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.