Individual
DR. AMY FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
628 E 12TH ST, WASHINGTON, NC 27889-3409
(252) 975-4319
(252) 948-4826
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2020-00792
NC
Other
Enumeration date
05/04/2016
Last updated
04/23/2020
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