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NPI Code Detail

MEDICARE: DR. DAVID WARING FULTON D.C.

MEDICARE:  DR. DAVID WARING FULTON  D.C.
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
1111N00000XChiropractorCH7205FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
155478YOTHERFLMEDICARE PTAN

General Provider Information

NPI Number : 1699745281
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID WARING FULTON D.C.
Provider Business Mailing Address
First Line : 2122 W NINE MILE RD
Second Line :
City : PENSACOLA
State : FL
Zip : 32534-9464
Country : US
Telephone Number : 850-473-5555
Fax Number : 850-473-5505
Provider Business Practice Location Address
First Line : 2122 W NINE MILE RD
Second Line :
City : PENSACOLA
State : FL
Zip : 32534-9464
Country : US
Telephone Number : 850-473-5555
Fax Number : 850-473-5505
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2006
Last Update Date : 09/08/2015

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Directions to “ DR. DAVID WARING FULTON D.C.” Practice Location

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