Colin Grant Fultz (NPI# 1154856292, PAC ID# 0345510012) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1154856292 |
| PAC ID by PECOS | 0345510012 |
| Professional Enrollment ID | I20170728000819 |
| Full Name | Colin Grant Fultz |
| Organization Legal Name | SPINE STOP, PLLC |
| Address |
352 Old Gallatin Rd Scottsville KY 42164-8666 |
| Phone Number | 2702373304 |
| Gender | M |
| Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2017 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 4082761929 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 352 Old Gallatin Rd, Scottsville, KY 42164-8666 | 2702373304 | SPINE STOP, PLLC |
| Organization Legal Name | SPINE STOP, PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grant G Watkins Ii | Chiropractic | Spine Stop, Pllc | 352 Old Gallatin Rd, Scottsville, KY 42164-8666 |
| Street Address |
352 OLD GALLATIN RD |
| City | SCOTTSVILLE |
| State | KY |
| Zip | 42164-8666 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grant G Watkins Ii | Chiropractic | Spine Stop, Pllc | 352 Old Gallatin Rd, Scottsville, KY 42164-8666 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janice M Bloink | Chiropractic | 200 E Locust St, Scottsville, KY 42164-1275 | |
| Karen R Foster | Nurse Practitioner | 105 S 2nd St, Scottsville, KY 42164-1449 | |
| Andrew Hunter Wheeler | Emergency Medicine | Southeastern Emergency Physicians LLC | 456 Burnley Rd, Scottsville, KY 42164-6355 |
| Michael Lang | Family Medicine | Bowling Green Warren County Community Hospital Corporation | 466 Burnley Rd, Scottsville, KY 42164-6355 |
| Grover Cleveland Dils | Internal Medicine | Bowling Green Warren County Community Hospital Corporation | 466 Burnley Rd, Scottsville, KY 42164-6355 |
| Shafia Rubeen | Family Medicine | Bowling Green Warren County Community Hospital Corporation | 466 Burnley Rd, Scottsville, KY 42164-6355 |
| Rene C Saunders | Emergency Medicine | Southeastern Emergency Physicians LLC | 456 Burnley Rd, Scottsville, KY 42164-6355 |
| Swaranjit K Chani | Internal Medicine | Bowling Green Warren County Community Hospital Corporation | 466 Burnley Rd, Scottsville, KY 42164-6355 |
| Mark D Ross | Optometry | 330 Franklin Rd, Scottsville, KY 42164-8805 |
| City | SCOTTSVILLE |
| Zip Code | 42164 |
| Specialty | CHIROPRACTIC |
| City + Specialty | SCOTTSVILLE + CHIROPRACTIC |
Please comment or provide details below to improve the information on Colin Grant Fultz.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.