| Randall B Fulford, PA-C | |
|
96279 Brady Point Rd, Fernandina Beach, FL 32034-7076 | |
| (904) 321-0088 | |
| Not Available |
| Full Name | Randall B Fulford |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 96279 Brady Point Rd, Fernandina Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295795896 | NPI | - | NPPES |
| 100002029D | Medicaid | GA | |
| 100002029B | Medicaid | GA | |
| 01157676 | Other | GA | AMERIGROUP |
| 100002029C | Medicaid | GA | |
| 2909961-00 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 004674 (Georgia) | Secondary |
| 363A00000X | Physician Assistant | PA3183 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Randall B Fulford, PA-C 7131 King Arthur Rd N, Jacksonville, FL 32211-4108 Ph: (904) 338-1193 | Randall B Fulford, PA-C 96279 Brady Point Rd, Fernandina Beach, FL 32034-7076 Ph: (904) 321-0088 |
Courtney Marshall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1132 S 14th St, Fernandina Beach, FL 32034 Phone: 904-432-3061 Fax: 904-432-3062 | |
Scott Allen Weeks, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1348 S 18th St Ste 200, Fernandina Beach, FL 32034 Phone: 042-619-7869 Fax: 904-277-4143 | |
Amy Brooke Mendonsa, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 96279 Brady Point Rd, Fernandina Beach, FL 32034 Phone: 904-321-0088 Fax: 904-321-0016 | |
Lori Young Tilton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 220 S 14th St, Fernandina Beach, FL 32034 Phone: 904-491-3688 Fax: 904-390-7450 | |
Jennie Santangelo Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1348 S 18th St Ste 100, Fernandina Beach, FL 32034 Phone: 904-261-0878 Fax: 904-277-7054 | |
Sara Veronica Mccarthy, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1865 Lime Street, Suite 100, Fernandina Beach, FL 32034 Phone: 904-321-8400 Fax: 904-321-8401 |