Individual
CHASE C FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1220 SPRUCE ST, BELMONT, NC 28012-3370
(704) 825-5333
(704) 825-1751
Mailing address
1220 SPRUCE ST, BELMONT, NC 28012-3370
(704) 825-5333
(704) 825-1751
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-00977
NC
Other
Enumeration date
07/24/2007
Last updated
12/20/2016
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