Organization
VIRGINIA S FULLER MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRGINIA S FULLER MD (OWNER/PRESIDENT)
(919) 690-3000
Entity
Organization
Contact information
Practice address
1010 COLLEGE ST, ANESTHESIA DEPT @ GRANVILLE MEDICAL CENTER, OXFORD, NC 27565-2507
(919) 690-3000
Mailing address
PO BOX 65457, CHARLOTTE, NC 28265-0457
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/18/2006
Last updated
10/05/2007
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