DIANA FULLERMICOU, Voluntary or Charitable KOSCIUSKO, MS

Contact Information

DIANA FULLERMICOU

825 JAMES H MEREDITH ST
KOSCIUSKO, MS 39090-3161

Phone: 662-289-3699
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Voluntary or Charitable	251V00000X	61	Voluntary Health or Charitable Agency[1]

Indicates primary specialty

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NPI Profile & details for DIANA FULLERMICOU · (Female)

NPI #	`1205348554`
Status	Active
Credentials
Entity	Individual
Enumeration date	10/26/2017
Last updated	10/26/2017 - About 9 years ago
Sole proprietor ¹	Yes
Identifiers	Not Available
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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DIANA FULLERMICOUVoluntary or Charitable

Contact Information

Specialty

Voluntary or Charitable

NPI Profile & details for DIANA FULLERMICOU · (Female)

Reviews for DIANA FULLERMICOU

DIANA FULLERMICOU
Voluntary or Charitable