Individual provider · Type 1 NPI
Mark B. Fullerton, DC
Chiropractor · Woodruff, SC
NPI number
1336290261
Active
Practice location
109 S Main St
Woodruff, SC 29388-1849
Fax (864) 476-0757
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 1130 (SC) |
| Chiropractor | 111N00000X | DC-002887-L (PA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
4 other providers at this address
Other chiropractor providers in Woodruff
About NPI 1336290261
Mark B. Fullerton, DC's National Provider Identifier is 1336290261, issued on Jan 16, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Woodruff, SC. The record was last updated on Nov 21, 2007.