MRS. TEAWKA FULLMORE NP-C NPI 1861884215

NPI Information

MRS. Teawka Fullmore, NP-C is a gerontology nurse practitioner in Waycross, GA with 10 years of experience. MRS. Teawka Fullmore, NP-C NPI is 1861884215. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

711 KNIGHT AVENUE
WAYCROSS, GA
ZIP 31501-943
Phone: (912) 283-9423
Fax: (912) 283-8204

The NPI 1861884215 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Automated urinalysis test (HCPCS:81003)

The enumeration date for this NPI number is 2/23/2015 and was last updated on 5/26/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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