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Individual

SCOTT A FULTON

Active
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Individual

SCOTT A FULTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
35-063202
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000224269
UNISON
OH
01
000000539552
ANTHEM
OH
05
0149191
OH
01
1044851
AETNA
OH
01
110239961
RAILROAD MEDICARE
OH
01
363535
WELLCARE
OH
01
733128
BUCKEYE
OH
01
P00428929
RAILROAD MEDICARE
OH
Enumeration date
07/14/2006
Last updated
11/09/2020
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