IndividualActive
Shacovia Fulton
NPI 1942899018 · Nutrition Education Nutritionist · Kingstree, SC
Provider details
- NPI number
- 1942899018
- Entity type
- Individual
- Primary specialty
- Nutrition Education NutritionistDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
- Nutrition Education Nutritionist133NN1002X
Dietary & Nutritional Service Providers
Practice location
914 2nd Ave Apt a
Kingstree, SC 29556-2930
Phone: (843) 372-4621
Approximate (ZIP-level) locationGet directions
Mailing address
914 2nd Ave Apt a
Kingstree, SC 29556-2930
Registry dates
- Enumerated
- 2021-01-13
- Last updated
- 2021-01-13
- Certified
- 2021-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.