# EXPRESS CARE OF FULTON

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

## Provider details

- **NPI number:** 1780890517
- **Authorized official:** LAURA L CURBOW (OFFICE MANAGER)
- **Authorized official phone:** (662) 862-9040

## Contact information

- **Practice address:** 202 INTERCHANGE DR, FULTON, MS 38843-6011
- **Practice address phone:** (662) 862-9040
- **Practice address fax:** (662) 862-9091
- **Mailing address:** 202 INTERCHANGE DR, 204 INTERCHANGE DRIVE, FULTON, MS 38843-6011
- **Mailing address phone:** (662) 862-9040
- **Mailing address fax:** (662) 862-9091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/16/2007
- **Last updated:** 01/14/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 09015389 | — | MS |