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 4 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care 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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 29088 Mississippi
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X T-3564 Mississippi
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 29088 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 Jun 19th, 2024 - 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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