Individual
DR. BARRY SCOTT FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 399-3906
Mailing address
1499 WALTON WAY STE 1400, AUGUSTA, GA 30901-2603
(706) 399-3906
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
074536
GA
207R00000X
Internal Medicine Physician
5486
GA
207R00000X
Internal Medicine Physician
Primary
74536
GA
Other
Enumeration date
06/25/2012
Last updated
02/27/2026
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