Fulton G. De Four, MD, LLC
Internal Medicine in Fairhope, AL. Organization (NPI-2).
NPI number1154632008
StatusActive
Last updated in NPPESJun 25, 2010
Details
- NPI
- 1154632008
- Entity type
- Organization (NPI-2)
- Legal business name
- Fulton G. De Four, MD, LLC
- Organization subpart
- No
- Enumeration date
- Jun 25, 2010
- Last updated
- Jun 25, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 22716 | AL | Yes |
Practice location
750 Morphy AveFairhope, AL 36532-1812
Phone 251-752-8235
Mailing address
10 N Section St # 161Fairhope, AL 36532-2205
Phone 251-752-8235
Authorized official
Fulton G De Four
Owner
2517528235
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