Doctor Name: | MRS. SARAH FULAYTAR |
NPI Number: | 1356721179 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 19515 |
Business Practice Address: | 58 Big A Rd Toccoa, GA - 305776017 |
Business Phone Number: | 7068867537 |
Business Fax Number: | |
Mailing Address: | 125 Northwoods Dr, Apt B SENECA |
State: | SC |
Postal Code: | 296781083 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/06/2015 |
NPI Last Update Date: | 08/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 19515 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |