TARA C FULK

NPI: 1427047026 · Individual · Active

Primary Specialty

Specialist

Practice Location

112 N RIVER RD
BRIDGEWATER, VA 22812-1611 Map ↗
Phone: 540-828-6443
Fax: 540-828-6583

All Specialties & Licenses

  • Specialist Primary (license: 2305202825, VA)

NPI Registration

Enumerated: 2005-10-17

Last CMS Update: 2007-10-31