John Thomas Fuller, IDHS

NPI #1518620186 in Daphne, Alabama

Provider Information

NPI Number: 1518620186
Entity Type: Individual
Name: John Thomas Fuller, IDHS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Corpsman
Credential: IDHS
Enumeration Date: Oct 20, 2021
Last Updated: Oct 20, 2021

Practice Location

Address: 12239 CRESSIDA LOOP
City: Daphne
State: Alabama
ZIP Code: 36526-9001
Phone: (205) 901-4498

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman	1710I1002X	Primary

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