| Fulton Family Medical | |
|
302 Hospital Rd Fulton MS 38843-6002 | |
| (662) 862-7047 | |
| Not Available |
| Full Name | Fulton Family Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 302 Hospital Rd, Fulton, Mississippi |
| Authorized Official Name and Position | Chris Dedeaux (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 6622567112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fulton Family Medical 123 Main St N Amory MS 38821-3416 Ph: () - | Fulton Family Medical 302 Hospital Rd Fulton MS 38843-6002 Ph: (662) 862-7047 |
| NPI Number | 1578787750 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578787750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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