Dr. Mark B Fullerton, D.C.
Chiropractor in Woodruff, SC. Individual provider (NPI-1).
NPI number1336290261
StatusActive
Last updated in NPPESNov 21, 2007
Details
- NPI
- 1336290261
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark B Fullerton
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 16, 2007
- Last updated
- Nov 21, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 1130 | SC | Yes |
| 111N00000X | Chiropractor | DC-002887-L | PA |
Practice location
109 S Main StWoodruff, SC 29388-1849
Phone 864-476-2200 · Fax 864-476-0757
Mailing address
109 S Main StWoodruff, SC 29388-1849
Phone 864-476-2200 · Fax 864-476-0757
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Other Chiropractor providers in Woodruff, SC
- James H Allen, DCNPI 1346295003
- Morgan Rena Andrews, D.C.NPI 1144791039
- Theresa BijeauNPI 1497315360
- James H. AllenNPI 1730387556
- Mark B FullertonNPI 1659550085
- Primary Spine And Injury CorpNPI 1164192506
All 7 Chiropractor providers in Woodruff · All 176 providers in Woodruff
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