| Wanda Kay Fulton, FNP-BC | |
|
3041 Old Eastover Rd, Eastover, SC 29044-8303 | |
| (803) 353-8741 | |
| (803) 353-8789 |
| Full Name | Wanda Kay Fulton |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 3041 Old Eastover Rd, Eastover, South Carolina |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881204899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 24237 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Colonial Family Practice Llc | 9931017118 | 60 |
| Entity Name | Eau Claire Cooperative Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346249430 PECOS PAC ID: 3274434220 Enrollment ID: O20040114000335 |
| Entity Name | Colonial Family Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518074640 PECOS PAC ID: 9931017118 Enrollment ID: O20040727000107 |
| Mailing Address | Practice Location Address |
|---|---|
| Wanda Kay Fulton, FNP-BC 9023 Garners Ferry Rd, Hopkins, SC 29061-9540 Ph: (803) 978-1848 | Wanda Kay Fulton, FNP-BC 3041 Old Eastover Rd, Eastover, SC 29044-8303 Ph: (803) 353-8741 |
Marguerite Lovett Knox, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1325 S Carolina Rd Ste 29, Eastover, SC 29044 Phone: 803-806-2071 Fax: 803-806-2072 | |
Dr. Melissa R. Scott, DNP, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3041 Old Eastover Rd, Eastover, SC 29044 Phone: 803-353-8741 |