Individual
DR. A. KENNETH FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1913 SMITH AVE, THOMASVILLE, GA 31792-5751
(229) 226-7060
(229) 226-7061
Mailing address
1913 SMITH AVE, THOMASVILLE, GA 31792-5751
(229) 226-7060
(229) 226-7061
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
028165
GA
Other
Enumeration date
12/14/2005
Last updated
03/07/2023
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