Individual
DR. JAMES ELTON FULLWOOD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
447 N MAIN ST, PITTSFIELD, ME 04967-3707
(207) 487-6455
Mailing address
447 N MAIN ST, PITTSFIELD, ME 04967-3707
(207) 487-6455
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD 1088
ME
Other
Enumeration date
07/12/2010
Last updated
07/29/2013
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