DUSTIN C FULLAWAY

ADVANCED SPINE CARE AND PHYSICAL REHABILITATION LLC

Dr DUSTIN C FULLAWAY is a male medical professional, specializing in Physical Therapy. He graduated in 2010.

Contact

ADVANCED SPINE CARE AND PHYSICAL REHABILITATION LLC

728 BENNETTS MILLS RD
SUITE 1
JACKSON
NJ
085273850

Tel: 7324151401

DUSTIN C FULLAWAY Information

Npi 1346553807
Pac Id 9931395225
Professional Enrollment Id I20101129000801
Last Name FULLAWAY
First Name DUSTIN
Middle Name C
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2010
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ADVANCED SPINE CARE AND PHYSICAL REHABILITATION LLC
Group Practice Pac Id 0749269637
Number Of Group Practice Members 9
Line 1 Street Address 728 BENNETTS MILLS RD
Line 2 Street Address SUITE 1
Marker Of Address Line 2 Suppression
City JACKSON
State NJ
Zip Code 085273850
Phone Number 7324151401
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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