Individual
ANDREA A FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
117 PUTNAM DR STE C, EATONTON, GA 31024-6871
(706) 485-8591
(706) 485-2018
Mailing address
PO BOX 3776, EATONTON, GA 31024-3776
(706) 485-8591
(706) 485-2018
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN176437
GA
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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