Individual
ELIZABETH FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3001 EDWARDS MILL RD STE 200, RALEIGH, NC 27612-5243
(919) 781-5600
(191) 982-6578
Mailing address
3001 EDWARDS MILL RD STE 200, RALEIGH, NC 27612-5243
(919) 781-5600
(919) 863-6821
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
100902
NC
Other
Enumeration date
07/13/2005
Last updated
01/16/2025
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