Individual
DR. JAMES LESLIE FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
205 S LEE ST, AMERICUS, GA 31709-3913
(229) 924-4035
(229) 924-2737
Mailing address
PO BOX 707, AUBURN, CA 95604-0707
(530) 885-8755
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
C32611
CA
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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