Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAMES CLARK FULTON, PA-C
Active Sole ProprietorPhysician Assistant · DPO, AA
Registration Details
- NPI Number
- 1588656607
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 16, 2005 (20.744638620642 yrs)
- Last Updated
- Oct 28, 2013
- Licenses
-
004539 (GA)0110003730 (VA)0110003730 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
UNIT 3420 BOX 200DEPARTMENT OF STATE, US EMBASSY QUITO, ECUADORDPO, AA, 340390200Browse AA providers · Browse ZIP 34039
- Phone
- 2024489095
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Physician Assistant
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.