| Mark B Fullerton | |
|
109 S Main St, Woodruff, SC 29388-1849 | |
| (864) 476-2200 | |
| (864) 476-0757 |
| Full Name | Mark B Fullerton |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 109 S Main St, Woodruff, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659550085 | NPI | - | NPPES |
| CH1130 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1130 (South Carolina) | Primary |
| Provider Name | Mark Boyer Fullerton |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336290261 PECOS PAC ID: 5092981696 Enrollment ID: I20120110000083 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark B Fullerton 109 S Main St, Woodruff, SC 29388-1849 Ph: (864) 476-2200 | Mark B Fullerton 109 S Main St, Woodruff, SC 29388-1849 Ph: (864) 476-2200 |
Dr. Morgan Rena Andrews, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 420 S Main Street, Woodruff, SC 29388 Phone: 864-756-8585 Fax: 864-606-6200 | |
Primary Spine And Injury Corp Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 109 S Main St, Woodruff, SC 29388 Phone: 864-230-6066 | |
Dr. Mark B Fullerton, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 109 S Main St, Woodruff, SC 29388 Phone: 864-476-2200 Fax: 864-476-0757 | |
Dr. James H Allen, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 133 North Main Street, Woodruff, SC 29388 Phone: 864-476-3111 Fax: 864-476-3111 | |
Dr. Theresa Bijeau, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 106 S Main St, Woodruff, SC 29388 Phone: 864-476-5665 | |
James H. Allen Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 133 N Main St, Woodruff, SC 29388 Phone: 864-476-3111 Fax: 864-476-3111 |