Jason Keith Fultz, DO

NPI #1164083093 in Madison, Alabama

Provider Information

NPI Number: 1164083093
Entity Type: Individual
Name: Jason Keith Fultz, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Jun 21, 2019
Last Updated: Aug 1, 2022

Practice Location

Address: 1650 SLAUGHTER RD STE A
City: Madison
State: Alabama
ZIP Code: 35758-8610
Phone: (256) 325-3646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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