Fulton, Joseph

Fulton, Joseph is an individual health care provider with primary practice located at 1200 Memorial Drive , Dalton GA 30720. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Fulton, Joseph can be contacted via phone (205) 977-1949.

Contact Information

Primary practice address
1200 Memorial Drive Dalton GA 30720
Phone: (205) 977-1949
Fax: (706) 226-2283
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN110452 Georgia

Profile Details

NPI number 1801989090
LBN Legal business name Fulton, Joseph
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Oct 18th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801989090 NPPES
Georgia MEDICAID 000550756A

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