Individual
DR. ANGELICA FAYE FULLERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(850) 452-5640
Mailing address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101281935
VA
Other
Enumeration date
12/14/2015
Last updated
05/29/2024
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