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NPI Code Detail

MEDICARE: DR. JAMES J. FULMER MD

MEDICARE: DR. JAMES J. FULMER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist PhysicianME48362FL
2207R00000XInternal Medicine PhysicianME48362FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427035062
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES J. FULMER MD
Provider Business Mailing Address
First Line : PO BOX 746638
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6638
Country : US
Telephone Number : 904-202-1032
Fax Number : 904-348-5627
Provider Business Practice Location Address
First Line : 820 PRUDENTIAL DR STE 304
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8205
Country : US
Telephone Number : 804-346-3649
Fax Number : 904-348-5627
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2005
Last Update Date : 06/28/2024

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Directions to “ DR. JAMES J. FULMER MD” Practice Location

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