Individual
DR. STANLEY BRIAN FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2825 LYNDHURST AVE, STE 101, WINSTON SALEM, NC 27103-4146
(336) 277-4075
(336) 277-4095
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 277-4075
(336) 277-4095
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
34605
NC
208C00000X
Colon & Rectal Surgery Physician
Primary
34605
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437119302
—
VA
01
—
34605
NC LLICENSE
NC
05
—
8934129
—
NC
Enumeration date
03/24/2006
Last updated
07/03/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us