William Allen Fuller JR., MD

NPI #1225006489 in South Boston, Virginia

Provider Information

NPI Number: 1225006489
Entity Type: Individual
Name: William Allen Fuller JR., MD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Mar 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2212 WILBORN AVE
City: South Boston
State: Virginia
ZIP Code: 24592-1630
Phone: (434) 572-8921

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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