Fuller, Khadijah
Fuller, Khadijah is an individual health care provider with primary practice located at 1300 Upper Hembree Rd Ste D , Roswell GA 30076-0927. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Fuller, Khadijah can be contacted via phone (757) 362-1548.Contact Information
Primary practice address
1300 Upper Hembree Rd Ste D
Roswell GA 30076-0927
Phone: (757) 362-1548
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | RN310690 | Georgia |
Profile Details
| NPI number | 1790427854 |
|---|---|
| LBN Legal business name | Fuller, Khadijah |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2022 |
| Last updated | Dec 13th, 2023 - about 2 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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