Gina Marie Fuller, ATC
NPI #1104587005 in Gardendale, Alabama
Provider Information
- NPI Number
- 1104587005
- Entity Type
- Individual
- Name
- Gina Marie Fuller, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jan 4, 2022
- Last Updated
- Jan 4, 2022
Practice Location
- Address
- 540 MELONIE LN
- City
- Gardendale
- State
- Alabama
- ZIP Code
- 35071-2231
- Phone
- (334) 648-6110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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