Larry Dewitt Fuller JR. M.A.

  • NPI 1700209327
According to our database, the NPI number for Larry Dewitt Fuller JR. M.A. is 1700209327 and activated since 10 years ago. Larry Dewitt Fuller JR. M.A. is an individual provider who specializes in Professional, and the primary practice location is 307 Old Stone Rd, Villa Rica, GA 30180. You can also contact Larry Dewitt Fuller JR. M.A. via telephone number is (770) 459-8799. Provider NPI information was last updated on 02/03/2014.

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Overview of Larry Dewitt Fuller JR. M.A.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 02/03/2014
  • Last updated: 02/03/2014

Primary Scrop of Practice

  • Taxonomy Code: 101YP2500X
  • Specialty: Professional
  • License Number: LPC007525
  • License State: GA

Provider Mailing Address

  • Address: 6439 Briarwood Ct
    Riverdale, GA 30296
  • Phone: 404-433-0307
  • Fax:

Provider Practice Location

  • Address: 307 Old Stone Rd
    Villa Rica, GA 30180
  • Phone: 770-459-8799
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YP2500X
  • Specialty: Professional
  • License Number: LPC007525
  • License State: GA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Larry Dewitt Fuller JR. M.A.?
  • A: The npi number for Larry Dewitt Fuller JR. M.A. is 1700209327.
  • Q: What are Larry Dewitt Fuller JR. M.A.'s specialties?
  • A: Larry Dewitt Fuller JR. M.A.'s specialties are Professional and different specialities.
  • Q: What is the medical license for Larry Dewitt Fuller JR. M.A.?
  • A: The medical license number for Larry Dewitt Fuller JR. M.A. is LPC007525 and issued in GA in USA.
  • Q: Where is Larry Dewitt Fuller JR. M.A. practice location?
  • A: Larry Dewitt Fuller JR. M.A. is practicing at 307 Old Stone Rd, Villa Rica, GA 30180.
  • Q: How to contact Larry Dewitt Fuller JR. M.A.?
  • A: You can contact Larry Dewitt Fuller JR. M.A. via 770-459-8799.
Medicare Specialty
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Sports Medicine
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