Individual
DANA FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
300 PLAZA CIR STE E, CLINTON, SC 29325-7557
(864) 938-9690
(864) 833-9039
Mailing address
300 PLAZA CIR STE E, CLINTON, SC 29325-7557
(864) 938-9690
(864) 833-9039
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22692
SC
363LF0000X
Family Nurse Practitioner
22692
SC
Other
Enumeration date
07/07/2019
Last updated
03/21/2024
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