Individual
FARRAH-AMOY W. FULLERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3700 S RAILROAD ST STE A, PHENIX CITY, AL 36867-2994
(334) 664-0463
Mailing address
3103 BUTTREY DR NW, HUNTSVILLE, AL 35810-2905
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.49771
AL
Other
Enumeration date
03/26/2021
Last updated
12/17/2024
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