Male or Other

Dr. Jonathan H. Fuller D.O.

Family Medicine Physician in Gadsden, AL(View on Map)

Full Name

Dr. Jonathan H Fuller D.O.

NPI Number

1013315001

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/08/2014

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Alabama
Mississippi

License Number

DO.1762
24416

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 860
1401 RAINBOW DR STE B

City

Gadsden
Gadsden

State

AL
AL

Postal Code

35902-0860
35901-5319

Country

US
US

Telephone Number

(256) 646-6358
(256) 646-6358

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/16/2018

Provider Address

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