Individual
J FULLER ROYSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
12201 N NC HIGHWAY 150 STE 4, WINSTON SALEM, NC 27127-9731
(336) 775-7600
(336) 775-7610
Mailing address
12201 N NC HIGHWAY 150 STE 4, WINSTON SALEM, NC 27127-9731
(336) 775-7600
(336) 775-7610
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2881
NC
Other
Enumeration date
11/07/2006
Last updated
07/10/2007
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