Dr. Mary Susan Fulghum
Gynecologist
3809 Computer Dr Suite 201
Raleigh
, North Carolina 27609-6518
Dr. Mary Susan Fulghum
Gynecologist
3809 Computer Dr Suite 201
Raleigh
, North Carolina 27609-6518
(919) 782-2218
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Dr. Mary Susan Fulghum
- 3809 Computer Dr Suite 201
- Raleigh, NC
- Zip : 27609-6518
- Fax : (919) 782-2218
- Phone : (919) 782-6700
Second Address
- Dr. Mary Susan Fulghum
- 3809 Computer Dr Suite 201
- Raleigh, NC
- Zip : 27609-6518
- Fax : (919) 782-2218
- Phone : (919) 782-6700
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | 17353 | NC |
National Provider Identifier
| NPI | 1144284886 |
|---|---|
| Provider Name | Dr. Mary Susan Fulghum |
| First Address | Raleigh, NC 27609-6518 |
| Second Address | Raleigh, NC 27609-6518 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/04/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 012CT | BCBS (01) | |
| 1220392 | UHC (01) | |
| C88012 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.