Individual provider · Type 1 NPI

Tracie Fullove, MD

Family Medicine Physician · Fayetteville, AR

NPI number 1962865659 Active

Practice location

3162 W Martin Luther King Blvd Ste 13-14
Fayetteville, AR 72704-7679

Call (479) 935-4834 Map

Fax (479) 249-9879

Mailing address

607 Hampton Cir Apt G
Jackson, MS 39211-2334

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XE-11276 (AR)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1962865659

Tracie Fullove, MD's National Provider Identifier is 1962865659, issued on Mar 31, 2016. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Fayetteville, AR. The record was last updated on Jun 19, 2019.