| Fulgres, Inc. | |
|
1945 J N Pease Pl Suite 204 Charlotte NC 28262-4511 | |
| (704) 449-8907 | |
| (704) 414-8461 |
| Full Name | Fulgres, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1945 J N Pease Pl, Charlotte, North Carolina |
| Authorized Official Name and Position | Tonya F. Greene (PRESIDENT) |
| Authorized Official Contact | 7044498907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fulgres, Inc. Po Box 32602 Charlotte NC 28232-2602 Ph: (704) 449-8907 | Fulgres, Inc. 1945 J N Pease Pl Suite 204 Charlotte NC 28262-4511 Ph: (704) 449-8907 |
| NPI Number | 1851515563 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 07/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851515563 | NPI | - | NPPES |
| 6102488 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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