Sean Douglas Fuller MD

NPI 1063488054 - Family Medicine - 207Q00000X

NPI Details
NPI 1063488054
Gender Male
Enumeration Date 02/28/2006
Last Updated 03/05/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
IRMO SC, 29063-2871, US
Phone (803) 749-1111
Fax (803) 749-0050
Business Location
PO BOX 11416
COLUMBIA SC, 29211-1416, US
Phone (803) 749-1111
Fax (803) 749-0050
Taxonomy Code 207Q00000X
License State South Carolina
License Number 20144
Remove 1063488054 NPI Number

According to our database, Dr. Sean Douglas Fuller MD NPI is 1063488054, taxonomy code is 207Q00000X and license number is 20144, license state is located at South Carolina. Sean Douglas Fuller MD physically located at 1 Wellness Blvd, Irmo SC, 29063-2871. NPI Number Sean Douglas Fuller MD has the Individual type.

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1063488054 NPI number is provided on an as is basis without warranty of any kind. 1063488054 is maintained by the National Plan & Provider Enumeration System. The contents of Sean Douglas Fuller MD are for informational purposes only.