Individual
DR. DAVID R. FULP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 SENTARA CIR, RM 2C, WILLIAMSBURG, VA 23188-5713
(757) 984-7218
(757) 984-7210
Mailing address
100 SENTARA CIR, RM 2C, WILLIAMSBURG, VA 23188-5713
(757) 984-7218
(757) 984-7210
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101034453
VA
207R00000X
Internal Medicine Physician
0101034453
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005857571
—
VA
01
—
139607
ANTHEM
VA
01
—
39379
SENTARA
VA
Enumeration date
08/03/2006
Last updated
05/06/2019
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