Individual
DAVID LEE FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
612 PASTEUR DR, STE 200, GREENSBORO, NC 27403-1149
(336) 852-4051
Mailing address
612 PASTEUR DR, STE 200, GREENSBORO, NC 27403-1149
(336) 852-4051
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
20393
NC
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
20393
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24019
MEDCOST
NC
01
—
34114
BCBS NC
NC
05
—
8911441
—
NC
Enumeration date
12/08/2006
Last updated
09/11/2025
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