Individual
MEGAN C. FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
226 MEDICAL PLAZA LN, WHITESBURG, KY 41858-7425
(606) 633-4871
(606) 633-0883
Mailing address
PO BOX 40, WHITESBURG, KY 41858-0040
(606) 633-4823
(606) 633-1874
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
03015
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100009300
—
KY
Enumeration date
05/29/2007
Last updated
07/21/2022
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