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Individual

MRS. ELIZABETH W FULLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
850 PETER BRYCE BLVD, TUSCALOOSA, AL 35401-7419
(205) 348-1770
(205) 348-2593
Mailing address
850 PETER BRYCE BLVD, TUSCALOOSA, AL 35401-7419
(205) 348-1770
(205) 348-2593

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-046393
AL

Other

Enumeration date
11/08/2006
Last updated
07/21/2022
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