Individual
ADDISON DEITRICH FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
257 BILTMORE AVE, ASHEVILLE, NC 28801-4120
(828) 285-0622
Mailing address
257 BILTMORE AVE, ASHEVILLE, NC 28801-4120
(828) 285-0622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2016-00011
NC
Other
Enumeration date
05/13/2013
Last updated
10/01/2020
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