| Doctor Name: | MRS. IVIE NICHOLSON FULTON |
| NPI Number: | 1457795098 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 615 Martin Luther King Ave Kingstree, SC - 295564103 |
| Business Phone Number: | 8433556525 |
| Business Fax Number: | 8433557019 |
| Mailing Address: | 500 Academy St., KINGSTREE |
| State: | SC |
| Postal Code: | 29556 |
| Phone Number: | 8433556525 |
| Fax Number: | 8433557019 |
| NPI Enumeration Date: | 04/25/2013 |
| NPI Last Update Date: | 04/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174H00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Health Educator |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor |