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Contact Information

TODD L FULCHER, MD
200 AMITY LANE
BRANDON, MS39047
 Phone: 601-829-9095
 Fax: 601-829-9096
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for TODD L FULCHER · (Male)

NPI # 1124097191
Status Active
Credentials MD
Entity Individual
Enumeration date 03/14/2006
Last updated 02/08/2013 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 12503
  • MS Medicaid 00111649
  • MS Other 753068151 1ST CHOICE
  • MS Other 4554283 AETNA
  • MS Other 75306815 MS HEALTH PARTNERS
  • MS Other 753068151 MS PHYSICIANS CARE NETWOR
  • MS Other P00061664 RR MEDICARE
  • MS Other 753068151002 TRICARE
  • MS Other 753068151 UHC
  • MS Other 168390700 US DEPT OF LABOR
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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