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Search › Arkansas › Family Medicine Physician

Tracie Fullove, M.D

NPI 1962865659 · on the registry since 2016 · sole proprietor

Practice

Address
3162 W Martin Luther King Blvd Ste 13-14
Fayetteville, AR 72704
Phone
(479) 935-4834
Fax
(479) 249-9879
Organisation at this address
St Francis House Nwa, Inc
Fisher Denture & Dental Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Family Medicine Physician
207Q00000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-06-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas