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NPI Code Detail

MEDICARE: EDWARD HENDRIK FULTON M.D.

MEDICARE: EDWARD HENDRIK FULTON M.D.
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
1207ZD0900XDermatopathology (Pathology) PhysicianMD.37372AL

General Provider Information

NPI Number : 1447639125
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD HENDRIK FULTON M.D.
Provider Business Mailing Address
First Line : 3560 INDEPENDENCE DR
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35209-5703
Country : US
Telephone Number : 205-949-2834
Fax Number : 205-949-2810
Provider Business Practice Location Address
First Line : 3550 INDEPENDENCE DR
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35209
Country : US
Telephone Number : 205-949-2806
Fax Number : 205-949-2810
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2015
Last Update Date : 02/10/2026

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