Individual
ANDREA J FULLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN,FNP
Contact information
Practice address
590 HISTORIC OLD HWY 441, DEMOREST, GA 30535
(706) 754-5511
(706) 754-5577
Mailing address
590 HISTORIC HWY 441 N., DEMOREST, GA 30535
(706) 754-5511
(706) 754-5577
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
098416
GA
Other
Enumeration date
10/24/2005
Last updated
07/08/2007
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