Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON KEITH FULTZ, DO
ActiveFamily Medicine · MADISON, AL
Registration Details
- NPI Number
- 1164083093
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 21, 2019 (6.862269650251 yrs)
- Last Updated
- Aug 1, 2022
- License
-
2019022592 (MO)
Practice Information
- Address
-
1650 SLAUGHTER RD STE AMADISON, AL, 357588610Browse AL providers · Browse ZIP 35758
- Phone
- 2563253646
- Fax
- 2563253647
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in MADISON, AL
| Name | Credential | NPI |
|---|---|---|
| ALETHA LAKAY EDISON | MD | 1528053519 |
| DR. CHARLES D. COFFEY | M.D. | 1093701849 |
| DEBORAH BOOHER KOLB | M.D. | 1063493153 |
| DR. CASWALL C HARRIGAN SR. | M.D. | 1073594735 |
| DR. JUDY PINCKLEY RAWLS | M.D. | 1598748931 |
| DR. CINDY MCCUTCHEON MCADAMS | D.O. | 1306829759 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.