IndividualActive
Davis Fulton
NPI 1457089740 · Athletic Trainer · Meridian, MS
Provider details
- NPI number
- 1457089740
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- AT0290 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1314 19th Ave
Meridian, MS 39301-4116
Phone: (601) 562-7119
Approximate (ZIP-level) locationGet directions
Mailing address
12631 Road 759
Philadelphia, MS 39350-6930
Registry dates
- Enumerated
- 2022-08-12
- Last updated
- 2022-08-12
- Certified
- 2022-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.