Fulghum, Mary Susan

Fulghum, Mary Susan is an individual health care provider with primary practice located at 3809 Computer Dr Suite 201, Raleigh NC 27609-6518. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Fulghum, Mary Susan can be contacted via phone (919) 782-6700.

Contact Information

Primary practice address
3809 Computer Dr Suite 201 Raleigh NC 27609-6518
Phone: (919) 782-6700
Fax: (919) 782-2218
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 17353 North Carolina

Profile Details

NPI number 1144284886
LBN Legal business name Fulghum, Mary Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Jul 8th, 2007 - about 18 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 1144284886 NPPES
Other 012CT BCBS
Other 1220392 BCBS

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