Fuller, James Michael
Fuller, James Michael is an individual health care provider with primary practice located at 200 Patewood Dr Suite B480, Greenville SC 29615-3593. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Fuller, James Michael can be contacted via phone (864) 454-4200.Contact Information
Primary practice address
200 Patewood Dr Suite B480
Greenville SC 29615-3593
Phone: (864) 454-4200
Fax: (864) 454-4205
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 18522 | South Carolina |
Profile Details
| NPI number | 1467495333 |
|---|---|
| LBN Legal business name | Fuller, James Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | May 12th, 2021 - about 3 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 | 1467495333 | NPPES |
| South Carolina | Other | 7461686 | AETNA |
| South Carolina | Other | 5793335 | AETNA |
| South Carolina | MEDICAID | G14799 | AETNA |
| South Carolina | Other | P00265772 | AETNA |
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