PATRICIA MANN FULMER (NPI# 1083059083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083059083 |
| Entity Type | Individual |
| Full Name | PATRICIA MANN FULMER |
| Other Name | PATRICIA ANNE FULMER |
| Credential | REGISTERED NURSE |
| Practice Address |
2924 Macedonia Church Rd Prosperity SC 29127-9045 |
| Practice Telephone | 8033644057 |
| Mailing Telephone | 8033644057 |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2013-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 87679 | SC | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013340371 | Patricia Marie Fulmer | Optometrist | 11310 Memorial Pkwy Sw Ste G, Huntsville, AL 35803-2666 | 2013-08-09 |
| Street Address |
2924 MACEDONIA CHURCH RD |
| City | PROSPERITY |
| State | SC |
| Zip Code | 29127-9045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932675147 | Kane Vaughn Summer | Pharmacist | 101 N Main Street, Prosperity, SC 29127 | 2018-10-16 |
| 1073050639 | Mid-carolina Dental Care, Inc | Dentist | 316 N Wheeler Ave, Prosperity, SC 29127 | 2017-01-20 |
| 1679970255 | Heather Shealy Mccormack | Registered Nurse | 5 Seibert Rd, Prosperity, SC 29127 | 2014-11-26 |
| 1811233901 | Laura Montgomery | Pharmacist | 101 N. Main St, Prosperity, SC 29127 | 2012-12-18 |
| 1699929612 | Southside Res. Care | Community Based Residential Treatment Facility, Mental Illness | 425 S. Wheeler Ave, Pros, SC 29127 | 2008-11-05 |
| 1710964416 | William M Dixon IIi | Family Medicine | 600 N Wheeler Ave, Prosperity, SC 29127 | 2005-12-23 |
| 1376889469 | Carmen Monts | Pharmacist | 101 N. Main St., Prosperity, SC 29127 | 2012-12-18 |
| 1932491966 | Prisma Health-midlands | Community/Behavioral Health | 600 N Wheeler Ave, Prosperity, SC 29127 | 2011-05-10 |
| 1114081734 | Palmetto Health | Counselor | 600 N Wheeler Ave, The Pastoral Counseling Center of Newberry County, Prosperity, SC 29127 | 2006-12-20 |
| 1215973334 | Pugh Drug Inc | Pharmacy | 101 N Main St, Prosperity, SC 29127 | 2006-06-20 |
| Find all providers in zip 29127 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780232017 | Rachel Lee Kleinhans | Student in an Organized Health Care Education/Training Program | 270 Old Post Rd, Prosperity, PA 15329-1210 | 2019-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141327 | Anne M. Stollberg | Student in an Organized Health Care Education/Training Program | 3 Pheasant Ct, Greenville, SC 29607-5441 | 2020-07-15 |
| 1891313292 | Zachary Blake Riggs | Student in an Organized Health Care Education/Training Program | 2025 Gervais St Unit 321c, Columbia, SC 29204-1803 | 2020-07-12 |
| 1144848797 | Katrina Marie Linenko | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 3707c, Columbia, SC 29201-5622 | 2020-07-10 |
| 1275151870 | Soo Ji Mun | Student in an Organized Health Care Education/Training Program | 3049 Gedney Circle, Blythewood, SC 29016 | 2020-07-09 |
| 1790303402 | Kaitlyn Michele Pierce | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 1905c, Columbia, SC 29201-5607 | 2020-07-09 |
| 1932727625 | Kati Mathis | Student in an Organized Health Care Education/Training Program | 907 Canterbury Rd, Anderson, SC 29621-1401 | 2020-07-08 |
| 1316565211 | Erin Maureen Bryant | Student in an Organized Health Care Education/Training Program | 811 Polo Rd Apt 517, Columbia, SC 29223-4426 | 2020-07-08 |
| 1790303634 | Benjamin Dillion | Student in an Organized Health Care Education/Training Program | 800 Alexander Rd Apt 354, Cayce, SC 29033-4383 | 2020-07-08 |
| 1265050132 | Leona Joyce Keller | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 901, Columbia, SC 29201-5194 | 2020-07-08 |
| 1922626720 | Brett William Elder | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 3707, Columbia, SC 29201-5622 | 2020-07-08 |
| Find all providers with the same taxonomy | ||||
| City | PROSPERITY |
| Zip Code | 29127 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.