IndividualActive
Angelica Fullerton, MD
NPI 1306211537 · General Practice Physician · Fort Belvoir, VA
Provider details
- NPI number
- 1306211537
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 0101281935 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9300 Dewitt Loop
Fort Belvoir, VA 22060-5285
Phone: (850) 452-5640
Approximate (ZIP-level) locationGet directions
Mailing address
9300 Dewitt Loop
Fort Belvoir, VA 22060-5285
Registry dates
- Enumerated
- 2015-12-14
- Last updated
- 2024-05-29
- Certified
- 2024-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.