Individual
DR. EARL W FULLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 FAIRVIEW DR, SUITE E, FRANKLIN, VA 23851-1226
(757) 562-0383
(757) 962-1254
Mailing address
205 BUSINESS PARK DRIVE, SUITE 200, VIRGINIA BEACH, VA 23462-6335
(757) 962-1083
(757) 962-1254
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101019245
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005848067
—
VA
01
—
33684
OPTIMA HEALTH PLAN
VA
01
—
398492
MAMSI
VA
01
—
433816
ANTHEM BC/BS AND HKP
VA
05
—
89063U1
—
NC
Enumeration date
06/06/2006
Last updated
10/30/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us