Individual
DAVID WILLIAM FULFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3713 UNIVERSITY DR, STE B, DURHAM, NC 27707-6202
(919) 401-6212
(919) 401-4170
Mailing address
3713 UNIVERSITY DR, STE B, DURHAM, NC 27707-6202
(919) 401-6212
(919) 401-4170
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102636
NC
Other
Enumeration date
07/31/2006
Last updated
09/02/2008
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