Mr. Derrick Cornelius Fullwood
Mr. Derrick Cornelius Fullwood is a Community/Behavioral Health Agency in Clinton, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
4442 Bonnetsville RdClinton, NC 28328-1001
Phone: (919) 673-6332
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1154656338 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 6, 2009 |
| Last updated in NPPES | October 6, 2009 |
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