Daniel G. Fuller

NPI #1831396654 in Germantown, Tennessee

Provider Information

NPI Number: 1831396654
Entity Type: Organization
Organization Name: Daniel G. Fuller
Primary Specialty: Optometrist
Enumeration Date: Jun 27, 2007
Last Updated: Sep 14, 2007

Practice Location

Address: 2075 EXETER RD
Address 2: SUITE70
City: Germantown
State: Tennessee
ZIP Code: 38138-3962
Phone: (901) 754-2020

Authorized Official

Name: DR. DANIEL G FULLER, O.D
Title: OWNER
Phone: (901) 754-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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