Individual provider · Type 1 NPI

Mary Leah Fultineer, BA CPRP

Other Technician · Johnson City, TN

NPI number 1982729935 Active

Practice location

2243 Eddie Williams Drive, Victory Center
Johnson City, TN 37601

Call (423) 975-6000 Map

Fax (423) 975-4222

Mailing address

PO Box 9054
Gray, TN 37615-9054

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1982729935

Mary Leah Fultineer, BA CPRP's National Provider Identifier is 1982729935, issued on Mar 20, 2007. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Johnson City, TN. The record was last updated on Jul 8, 2007.