Fuller, Tama

Fuller, Tama is an individual health care provider with primary practice located at 1100 Lake Hearn Dr Ne Suite 100, Atlanta GA 30342-1523. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fuller, Tama can be contacted via phone (404) 256-3178.

Contact Information

Primary practice address
1100 Lake Hearn Dr Ne Suite 100 Atlanta GA 30342-1523
Phone: (404) 256-3178
Fax: (404) 256-3583
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 021981 Georgia

Profile Details

NPI number 1386609477
LBN Legal business name Fuller, Tama
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386609477 NPPES
Other 4303744 AETNA CAPITATED
Other 550624 AETNA CAPITATED
Other 158759 AETNA CAPITATED
Other 691301 AETNA CAPITATED
Other 40467 AETNA CAPITATED

Popular Providers