Fuller, William Tyler
Fuller, William Tyler is an individual health care provider with primary practice located at 971 Lakeland Dr Ste 1052 , Jackson MS 39216-4609. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Fuller, William Tyler can be contacted via phone (601) 981-9503.Contact Information
Primary practice address
971 Lakeland Dr Ste 1052
Jackson MS 39216-4609
Phone: (601) 981-9503
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 29088 | Mississippi |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 29088 | Mississippi |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | T-3564 | Mississippi |
Profile Details
| NPI number | 1205323177 |
|---|---|
| LBN Legal business name | Fuller, William Tyler |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2018 |
| Last updated | Dec 11th, 2025 - about last year |
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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