Individual
MR. MARK THERON FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 751-6634
Mailing address
2 ANGUS RD, COLUMBIA, SC 29223-7745
(803) 865-9794
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1032992
—
Other
Enumeration date
09/14/2006
Last updated
02/13/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us