Fuller, George H

Fuller, George H is an individual health care provider with primary practice located at 4630 Ambassador Caffery Pkwy Ste 208, Lafayette LA 70508-6949. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Fuller, George H can be contacted via phone (337) 981-6100.

Contact Information

Primary practice address
4630 Ambassador Caffery Pkwy Ste 208 Lafayette LA 70508-6949
Phone: (337) 981-6100
Fax: (337) 988-8751
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 016330 Louisiana

Profile Details

NPI number 1992703649
LBN Legal business name Fuller, George H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Aug 14th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992703649 NPPES
Other 160019227 PALMETTO GBA - RAILROAD M
MEDICAID 1348783 PALMETTO GBA - RAILROAD M

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