Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Fulton Family Medical

Organization Family Medicine Physician · NPI 1578787750

Fulton Family Medical provides Family Medicine Physician services in Fulton, Mississippi. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

302 Hospital Rd
Fulton, MS 38843-6002
Phone: (662) 862-7047
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1578787750
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chris Dedeaux — Clinic Administrator · (662) 256-7112
NPI enumeratedApril 12, 2007
Last updated in NPPESAugust 22, 2020
Mailing address123 Main St N, Amory, MS 38821-3416

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