Individual
BYRON GARTH FULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2010 HEALTH CAMPUS DR, ROCKINGHAM, VA 22801-8679
(540) 689-1110
(540) 689-1119
Mailing address
PO BOX 1430, HARRISONBURG, VA 22803-1430
(540) 564-7084
(540) 564-6847
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005948
VA
Other
Enumeration date
08/18/2017
Last updated
10/24/2017
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