Fuller, Stanley Brian

Fuller, Stanley Brian is an individual health care provider with primary practice located at 2825 Lyndhurst Ave Ste 101, Winston Salem NC 27103-4146. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Fuller, Stanley Brian can be contacted via phone (336) 277-4075.

Contact Information

Primary practice address
2825 Lyndhurst Ave Ste 101 Winston Salem NC 27103-4146
Phone: (336) 277-4075
Fax: (336) 277-4095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 34605 North Carolina
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 34605 North Carolina

Profile Details

NPI number 1437119302
LBN Legal business name Fuller, Stanley Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jul 3rd, 2023 - about 2 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 1437119302 NPPES
Virginia MEDICAID 1437119302
Virginia Other 34605
Virginia MEDICAID 8934129

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