Fuller, David Lee
Fuller, David Lee is an sole proprietor health care provider with primary practice located at 612 Pasteur Dr Ste 200, Greensboro NC 27403-1149. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Fuller, David Lee can be contacted via phone (336) 852-4051.Contact Information
Primary practice address
612 Pasteur Dr Ste 200
Greensboro NC 27403-1149
Phone: (336) 852-4051
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 20393 | North Carolina |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 20393 | North Carolina |
Profile Details
| NPI number | 1841359262 |
|---|---|
| LBN Legal business name | Fuller, David Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841359262 | NPPES |
| North Carolina | Other | 24019 | MEDCOST |
| North Carolina | Other | 34114 | MEDCOST |
| North Carolina | MEDICAID | 8911441 | MEDCOST |
Popular Providers
-
Epes, Charles Richard
3312 Battleground Ave , Greensboro NC 27410-2402 -
Whitaker, Roy
3312 Battleground Ave , Greensboro NC 27410-2402 -
Bray, Bryan Keith
2006 N Church St , Greensboro NC 27405-5634 -
Tart, David E.
5704 Hidden Orchard Dr , Greensboro NC 27410-2523 -
Matthews, John Dail
1313 Carolina Street Suite 103, Greensboro NC 27401 -
Bartle, Bryan K
301 E Wendover Ave Suite 411, Greensboro NC 27401-1230 -
Smith, Dallas Aaron
109 Muirs Chapel Rd Lower Level, Greensboro NC 27410-6161 -
Viglione, Cheryl A
3801 W Market St , Greensboro NC 27407-1301