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Contact Information

JOHN R FULLICK, PAC
2100 COMER AVE
COLUMBUS, GA31904
 Phone: 706-596-5737
 Fax: 706-596-5727
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JOHN R FULLICK · (Male)

NPI Number 1407956360
Status Active
Credentials PAC
Entity Individual
Enumeration date 09/22/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PA2857
  • GA License # 1307
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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