Fulcher, Simeon Marcus

Fulcher, Simeon Marcus is an individual health care provider with primary practice located at 1120 15Th St Suite Bp 2109, Augusta GA 30912-0004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Fulcher, Simeon Marcus can be contacted via phone (706) 721-4263.

Contact Information

Primary practice address
1120 15Th St Suite Bp 2109 Augusta GA 30912-0004
Fax: (706) 721-6001
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 045795 Georgia

Profile Details

NPI number 1730295551
LBN Legal business name Fulcher, Simeon Marcus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Aug 8th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730295551 NPPES
Georgia MEDICAID 00797508A

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