NPI 1093160020
Felicia Raquel Fulton
Practice location
- Address
- 741 Erika Ln, Grovetown, GA 30813-8305
- Phone
- (910) 551-9435
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1093160020
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Apr 2016
- Record last updated
- 27 Apr 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.