Organization
LORI J. FULTON, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI J. FULTON MD (OWNER)
(601) 372-3632
Entity
Organization
Contact information
Practice address
1963 W MCDOWELL RD, JACKSON, MS 39204-4217
(601) 372-3634
(601) 372-7361
Mailing address
1963 W MCDOWELL RD, JACKSON, MS 39204-4217
(601) 372-3634
(601) 372-7361
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Enumeration date
11/21/2006
Last updated
08/22/2020
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