License holder summary

FULFORD, RANDALL BURTON is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for FULFORD, RANDALL BURTON is 7131 KING ARTHUR RD. N., Jacksonville 32211. This doctor license is current. The license was granted 11/04/2005 and expired on 04/30/2017.

Georgia

Composite Medical Board

FULFORD, RANDALL BURTON
Medical - Physician Assistant
License number
004674
Date granted
11/04/2005
Date expires
04/30/2017
Class
Medical - Physician Assistant
Status
Active
Address
7131 KING ARTHUR RD. N.
georgiadoctors.net
ID 38098140
LAST UPDATED 2024-04-02 05:44:11 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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