Dr John H Fulmer Jr, DMD | |
900a Main St, Conway, SC 29526-4063 | |
(843) 488-3710 | |
Not Available |
Full Name | Dr John H Fulmer Jr |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 900a Main St, Conway, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528087467 | NPI | - | NPPES |
ZZ2408 | Medicaid | SC | |
7992952 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | SC2408 (South Carolina) | Primary |
Entity Name | Caresouth Carolina Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720082571 PECOS PAC ID: 1052221314 Enrollment ID: O20040511000280 |
Mailing Address | Practice Location Address |
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Dr John H Fulmer Jr, DMD 900a Main St, Conway, SC 29526-4063 Ph: (843) 488-3710 | Dr John H Fulmer Jr, DMD 900a Main St, Conway, SC 29526-4063 Ph: (843) 488-3710 |
Shaunna Jolanda Szabo, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1070 Highway 501 Business, Conway, SC 29526 Phone: 843-347-2273 | |
Dr. Brian James Filter, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8134 Timber Ridge Rd, Conway, SC 29526 Phone: 843-347-9040 | |
Dr. Austin Reece Davis, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1571 Sc - 544, Conway, SC 29526 Phone: 843-347-4190 | |
Dr. Jason Lee Kiggins, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1070 Highway 501 Business, Conway, SC 29526 Phone: 843-347-2273 Fax: 843-347-4920 | |
Dr. Patricia C Lawson, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1515 9th Ave, Conway, SC 29526 Phone: 843-248-3843 | |
Dr. James Lee Dalgarn Iii, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 901 16th Ave, Conway, SC 29526 Phone: 814-207-7173 | |
Dr. James Earl Lee, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 611 Church St, Conway, SC 29526 Phone: 843-248-4115 Fax: 843-248-6145 |