Individual
WILLIAM JOHNSON FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
116 FOXBANK PLANTATION BLVD STE E, MONCKS CORNER, SC 29461-6741
(843) 761-4622
(803) 759-8002
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12810
SC
225100000X
Physical Therapist
PT40202
FL
225100000X
Physical Therapist
Primary
—
SC
Other
Enumeration date
07/31/2023
Last updated
02/09/2026
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