Individual
DR. EDWIN R FULLER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7024 BURNETT-WOMACK BUILDING, CB#7155, CHAPEL HILL, NC 27599-0001
(919) 966-2561
(919) 966-4251
Mailing address
7024 BURNETT-WOMACK BUILDING, CB#7155, CHAPEL HILL, NC 27599-0001
(919) 966-2561
(919) 966-4251
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0501405
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901671
—
NC
Enumeration date
07/27/2006
Last updated
05/08/2021
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