Provider Demographics
NPI:1245237163
Name:FULTON, CATHERINE A (DC)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:A
Last Name:FULTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:434 MARGLO CIR
Mailing Address - Street 2:
Mailing Address - City:ELLERSLIE
Mailing Address - State:GA
Mailing Address - Zip Code:31807-5508
Mailing Address - Country:US
Mailing Address - Phone:706-562-2210
Mailing Address - Fax:
Practice Address - Street 1:1315 DELAUNEY AVE
Practice Address - Street 2:STE 100
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-2367
Practice Address - Country:US
Practice Address - Phone:706-221-2361
Practice Address - Fax:706-221-7496
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA6780111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor