Individual
CHARLES ALEXANDER FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3551 RODGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(770) 545-1469
Mailing address
3551 RODGER BROOKE DR, FORT SAM HOUSTON, TX 78234
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017777
GA
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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