Organization
FULL FAMILY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C FULLER DPT (OWNER/MANAGER)
(270) 256-2932
Entity
Organization
Contact information
Practice address
1116 S MAIN ST STE 5A, MORGANTOWN, KY 42261-9832
(270) 274-9221
Mailing address
PO BOX 445, HARTFORD, KY 42347-0445
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
12/08/2020
Last updated
12/10/2020
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