Individual
DR. VIRGINIA S FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1010 COLLEGE ST, ANESTHESIA DEPT, OXFORD, NC 27565-2507
(919) 690-3000
Mailing address
PO BOX 65457, CHARLOTTE, NC 28265-0457
(706) 860-2701
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
200101045
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89135YA
—
NC
Enumeration date
01/16/2006
Last updated
10/05/2007
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