Individual
DR. PHILLIP FULLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 S ESTES DR, SUITE 100, CHAPEL HILL, NC 27514-2868
(919) 913-4200
Mailing address
121 S ESTES DR, SUITE 100, CHAPEL HILL, NC 27514
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36525
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3404921
—
NC
Enumeration date
07/24/2006
Last updated
03/31/2008
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