Fulton G. de Four, MD, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

22716 Issued in AL

Legal business name

FULTON G. DE FOUR, MD, LLC

Practice address

750 Morphy Ave
Fairhope, AL 36532-1812

Phone

(251) 752-8235

NPI assigned

Jun 25, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Fulton G De Four, M.D.

Title

Owner

Phone

(251) 752-8235

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1154632008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N SECTION ST # 161",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322205",
            "telephone_number": "251-752-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MORPHY AVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321812",
            "telephone_number": "251-752-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON G. DE FOUR, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-25",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "DE FOUR",
        "authorized_official_first_name": "FULTON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-752-8235",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "22716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresenius Medical Care Baldwin County, LLC
• Scott Friedman, M.D.
• Thomas Berton Friman Sr., M.D.
• Brianna Fuchs, RDN
• Frances T Fuller, ARNP
• Neeha Gambhirrao, MD
• Vijaya Pradeep Ganipineni, MD
• Kelly L Garcia, M.D.
• Patrick L Garofano, P.T.
• Allison A Garstecki, PA

• Internal Medicine Physician in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.