Fuller, Selena
Fuller, Selena is an individual health care provider with primary practice located at 181 South Clayton Street , Lawrenceville GA 30045. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fuller, Selena can be contacted via phone (866) 825-3227.Contact Information
Primary practice address
181 South Clayton Street
Lawrenceville GA 30045
Phone: (866) 825-3227
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN172405 | Georgia |
Profile Details
| NPI number | 1598102733 |
|---|---|
| LBN Legal business name | Fuller, Selena |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2013 |
| Last updated | May 29th, 2013 - about 12 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.
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