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Individual

DR. ROBB L FULTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
207 GREEN ST, WARNER ROBINS, GA 31093-2727
(478) 787-4266
(478) 787-4199
Mailing address
207 GREEN ST, WARNER ROBINS, GA 31093-2727
(478) 787-4266
(478) 787-4199

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
073325
GA
207Q00000X
Family Medicine Physician
110203
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
248272437
MO
Enumeration date
02/06/2006
Last updated
11/03/2016
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