Fulton Family Medical

NPI #1578787750 in Fulton, Mississippi

Provider Information

NPI Number
1578787750
Entity Type
Organization
Organization Name
Fulton Family Medical
Primary Specialty
Family Medicine
Enumeration Date
Apr 12, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
302 HOSPITAL RD
City
Fulton
ZIP Code
38843-6002
Phone
(662) 862-7047

Authorized Official

Name
CHRIS DEDEAUX
Title
CLINIC ADMINISTRATOR
Phone
(662) 256-7112

Specialties & Taxonomy Codes

Specialty
Family Medicine

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