Whalio Doctors

NPI 1699352674

Farrah-Amoy W. Fullerton, MD

Practitioner Pediatrics Physician Phenix City, AL

Practice location

Address
3700 S Railroad St STE a, Phenix City, AL 36867-2994
Phone
(334) 664-0463
Mailing address
3103 Buttrey Dr NW, Huntsville, AL 35810-2905

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence MD.49771 (AL)

Registry record

NPI
1699352674
Entity type
Individual
Sex (as registered)
Female
NPI issued
26 Mar 2021
Record last updated
17 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.