Individual
SCOTT R FULGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 RUBY TYLER PKWY, TUSCALOOSA, AL 35404-2959
(205) 759-2582
(205) 759-2985
Mailing address
1100 RUBY TYLER PKWY, TUSCALOOSA, AL 35404-2959
(205) 759-2582
(205) 759-2985
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24425
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051553452
—
AL
01
—
P00008568
RAILROAD MEDICARE
AL
Enumeration date
09/27/2006
Last updated
03/05/2013
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