# DAVID B. FULLER, D.O., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477851764
- **Authorized official:** DAVID B. FULLER D.O. (PRESIDENT)
- **Authorized official phone:** (251) 937-7910

## Contact information

- **Practice address:** 2004 MEDICAL CENTER DR, BAY MINETTE, AL 36507-4163
- **Practice address phone:** (251) 937-7910
- **Practice address fax:** (251) 937-1846
- **Mailing address:** 2004 MEDICAL CENTER DR, BAY MINETTE, AL 36507-4163
- **Mailing address phone:** (251) 937-7910
- **Mailing address fax:** (251) 937-1846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | DO495 | AL | Yes |

## Other

- **Enumeration date:** 03/10/2011
- **Last updated:** 03/10/2011