Individual
DR. DANLIN JENNY FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-1160
Mailing address
2909 S TELEPHONE RD, MOORE, OK 73160-2937
(405) 733-4545
(405) 733-2758
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT206038
PA
207W00000X
Ophthalmology Physician
Primary
37806
OK
207W00000X
Ophthalmology Physician
7482
GA
Other
Enumeration date
04/24/2014
Last updated
06/09/2021
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