Mark Theron Fulton in Columbia - Physician Assistant

Mark Theron Fulton - NPI 1235234170

Mark Theron Fulton is a Physician Assistant in Columbia, South Carolina. Mark Theron Fulton practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mark Theron Fulton is 1235234170. The last update date is 2007-07-08.

Mark Theron Fulton's current location address is 2 Angus Rd, Columbia, South Carolina. You can contact this provider via phone number 8038659794. The mailing address for Mark Theron Fulton is 2 Angus Rd, Columbia, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Theron Fulton
Address 2 Angus Rd, Columbia, South Carolina
Phone Number 8038659794
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1235234170
Provider Enumeration Date 2006-09-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2 Angus Rd
City Columbia
State South Carolina (SC)
Post Code 292237745
Phone Number 8038659794
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 1032992
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Mark Theron Fulton

What is the unique provider identifier assigned to Mark Theron Fulton?

The Mark Theron Fulton has been issued the NPI (National Provider Identifier) 1235234170 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Mark Theron Fulton's facilities are situated?

The facilities of Mark Theron Fulton are physically located at the following address: 2 Angus Rd, Columbia, SC, 292237745.

What is Mark Theron Fulton's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mark Theron Fulton is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.

When was the Mark Theron Fulton's 1235234170 issued?

The Mark Theron Fulton's 1235234170 was issued on 2006-09-14.

As of what date was the information pertaining to Mark Theron Fulton, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mark Theron Fulton, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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