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NPI 1104376573

IndividualActive

Drusilla Fulton

NPI 1104376573 · Parenteral & Enteral Nutrition Supplies (DME) · Kingstree, SC

Provider details

NPI number: 1104376573
Entity type: Individual
Primary specialty: Parenteral & Enteral Nutrition Supplies (DME)Suppliers
Sex: Female
Sole proprietor: Yes

Practice location

44 Antioch Dr

Kingstree, SC 29556-5733

Phone: (704) 293-5718

More SC providers

Mailing address

44 Antioch Dr

Kingstree, SC 29556-5733

Registry dates

Enumerated: 2016-10-10
Last updated: 2016-10-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Drusilla Fulton — NPI 1104376573, Kingstree, SC | NPI Central