Fulenwider, Julius Timothy
Fulenwider, Julius Timothy is an individual health care provider with primary practice located at 1075 Jesse Jewell Pkwy Ne Ste B, Gainesville GA 30501-3814. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Fulenwider, Julius Timothy can be contacted via phone (770) 536-5733.Contact Information
Primary practice address
1075 Jesse Jewell Pkwy Ne Ste B
Gainesville GA 30501-3814
Phone: (770) 536-5733
Fax: (770) 534-2114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 017181 | Georgia |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 017181 | Georgia |
Profile Details
| NPI number | 1124021787 |
|---|---|
| LBN Legal business name | Fulenwider, Julius Timothy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Dec 9th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124021787 | NPPES |
| Georgia | MEDICAID | 00199086C |
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