Individual
JAMES H FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
72509
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN1455
—
SC
Enumeration date
05/17/2006
Last updated
01/09/2018
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