Fuller, Timothy

Fuller, Timothy is an individual health care provider with primary practice located at 1641 Madison Ave , Tifton GA 31794-3757. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Fuller, Timothy can be contacted via phone (229) 353-2284.

Contact Information

Primary practice address
1641 Madison Ave Tifton GA 31794-3757
Phone: (229) 353-2284
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MED-PHYS-LIC-103773 Montana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X 085351 Georgia
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 085351 Georgia
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MED-PHYS-LIC-103773 Montana

Profile Details

NPI number 1104153063
LBN Legal business name Fuller, Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2009
Last updated Jan 30th, 2024 - about 8 months 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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