Fuller, Harold Jones
Fuller, Harold Jones is an individual health care provider with primary practice located at 391 Serpentine Dr Suite 400, Spartanburg SC 29303-3096. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Fuller, Harold Jones can be contacted via phone (864) 560-7517.Contact Information
Primary practice address
391 Serpentine Dr Suite 400
Spartanburg SC 29303-3096
Phone: (864) 560-7517
Fax: (864) 560-7520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 2001-01044 | North Carolina |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 200101044 | North Carolina |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 38586 | South Carolina |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 38586 | South Carolina |
Profile Details
| NPI number | 1376578252 |
|---|---|
| LBN Legal business name | Fuller, Harold Jones |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Mar 3rd, 2023 - 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 | 1376578252 | NPPES |
| South Carolina | MEDICAID | N0104H | |
| South Carolina | MEDICAID | 891307G | |
| South Carolina | MEDICAID | 1376578252 | |
| South Carolina | Other | P01564416 |
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