DR. Scott Robison Fulp, D.M.D.

NPI #1356578520 in Tifton, Georgia

Provider Information

NPI Number: 1356578520
Entity Type: Individual
Name: DR. Scott Robison Fulp, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Jun 16, 2009
Last Updated: Jun 16, 2009

Practice Location

Address: 215 MAGNOLIA DR N
City: Tifton
State: Georgia
ZIP Code: 31794-4217
Phone: (229) 382-7996

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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