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Individual

JESSICA SCOTT FULLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
101 MANNING DR CB #7085, CHAPEL HILL, NC 27599-2208
(984) 974-1931
Mailing address
101 MANNING DR # 7085, CHAPEL HILL, NC 27514-4220
(415) 514-2711
(415) 476-4818

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.023142
OH
208000000X
Pediatrics Physician
57.023142
OH
208M00000X
Hospitalist Physician
Primary
202101856
NC

Other

Enumeration date
04/19/2013
Last updated
12/19/2022
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