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1154632008
FULTON G. DE FOUR, MD, LLC
FAIRHOPE, AL
NPI
1154632008
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Entity Type
Organization
Authorized Contact
FULTON G DE FOUR
Owner
251-752-8235
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: AL 22716)
Enumeration Date
2010-06-25
Last Update Date
2010-06-25
Business Address
FULTON G. DE FOUR, MD, LLC
750 MORPHY AVE
FAIRHOPE, AL 36532-1812
Phone number: 251-752-8235
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Mailing Address
FULTON G. DE FOUR, MD, LLC
10 N SECTION ST # 161
FAIRHOPE, AL 36532-2205
Phone number: 251-752-8235
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