# FULL FAMILY CARE, PLLC

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

## Provider details

- **NPI number:** 1528664117
- **Authorized official:** DAVID C FULLER DPT (OWNER/MANAGER)
- **Authorized official phone:** (270) 256-2932

## Contact information

- **Practice address:** 1116 S MAIN ST STE 5A, MORGANTOWN, KY 42261-9832
- **Practice address phone:** (270) 274-9221
- **Mailing address:** PO BOX 445, HARTFORD, KY 42347-0445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/08/2020
- **Last updated:** 12/10/2020