DAVID B. FULLER, D.O., P.C.
Marriage and Family Therapists at Medical Center Dr, Bay Minette, AL

License number
Alabama DO495
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DAVID B. FULLER D.O.
Title: PRESIDENT
Phone: (251) 937-7910
Address
Address
2004 Medical Center Dr, Bay Minette, AL 36507
National Provider ID: 1477851764
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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David B. Fuller, D.O., PC

Bay Minette, AL

Status:
Inactive
Industry:
PRACTICE OSTEOPATHY
Registration:
Oct 24, 1997
State ID:
191-098
Business type:
Domestic Professional Corporation
Formation place:
Baldwin County
Incorporator:
David B Fuller (incorporator)
Canceled Date:
Dec 19, 2011

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