Individual
FULLER MCCABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 PAUL W BRYANT DR E, TUSCALOOSA, AL 35401-2055
(205) 345-0192
Mailing address
305 PAUL W BRYANT DR E, TUSCALOOSA, AL 35401-2055
(205) 345-0192
(205) 759-8784
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
27163
MS
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266786
—
AL
Enumeration date
03/20/2015
Last updated
11/15/2022
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