| Fulton G. De Four, Md, Llc | |
|
750 Morphy Ave Fairhope AL 36532-1812 | |
| (251) 752-8235 | |
| Not Available |
| Full Name | Fulton G. De Four, Md, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 750 Morphy Ave, Fairhope, Alabama |
| Authorized Official Name and Position | Fulton G De Four (OWNER) |
| Authorized Official Contact | 2517528235 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fulton G. De Four, Md, Llc 10 N Section St # 161 Fairhope AL 36532-2205 Ph: (251) 752-8235 | Fulton G. De Four, Md, Llc 750 Morphy Ave Fairhope AL 36532-1812 Ph: (251) 752-8235 |
| NPI Number | 1154632008 |
|---|---|
| Provider Enumeration Date | 06/25/2010 |
| Last Update Date | 06/25/2010 |
| Medicare PECOS PAC ID | 1759407604 |
|---|---|
| Medicare Enrollment ID | O20100928001216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154632008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 22716 (Alabama) | Primary |
| Provider Name | Fulton G Defour |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356326367 PECOS PAC ID: 7315019361 Enrollment ID: I20080708000315 |
| Provider Name | Sheldon Jon Harigel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407090731 PECOS PAC ID: 4183874456 Enrollment ID: I20121022000716 |
| Provider Name | Donald B. Plummer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528379476 PECOS PAC ID: 9739344391 Enrollment ID: I20150721002880 |
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