Fulton G. De Four, Md, LLC

NPI #1154632008 in Fairhope, Alabama

Provider Information

NPI Number: 1154632008
Entity Type: Organization
Organization Name: Fulton G. De Four, Md, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 25, 2010
Last Updated: Jun 25, 2010

Practice Location

Address: 750 MORPHY AVE
City: Fairhope
State: Alabama
ZIP Code: 36532-1812
Phone: (251) 752-8235

Authorized Official

Name: FULTON G DE FOUR, M.D.
Title: OWNER
Phone: (251) 752-8235

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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