Brea Fuller

NPI #1205539236 in Douglasville, Georgia

Provider Information

NPI Number: 1205539236
Entity Type: Individual
Name: Brea Fuller
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 27, 2023
Last Updated: Mar 27, 2023

Practice Location

Address: 8954 HOSPITAL DR
City: Douglasville
State: Georgia
ZIP Code: 30134-2272
Phone: (470) 644-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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