Dr. Edwin R Fuller III, MD
Internal Medicine, Nephrology in Chapel Hill, NC. Individual provider (NPI-1).
NPI number1922022110
StatusActive
Last updated in NPPESMay 8, 2021
Details
- NPI
- 1922022110
- Entity type
- Individual (NPI-1)
- Name
- Dr. Edwin R Fuller III
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2006
- Certification date
- May 8, 2021
- Last updated
- May 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | 0501405 | NC | Yes |
Practice location
7024 Burnett-Womack BuildingCb#7155
Chapel Hill, NC 27599-0001
Phone 919-966-2561 · Fax 919-966-4251
Mailing address
7024 Burnett-Womack BuildingCb#7155
Chapel Hill, NC 27599-0001
Phone 919-966-2561 · Fax 919-966-4251
Other practice locations
1301 Central Dr
Sanford, NC 27330-4159
Sanford, NC 27330-4159
Phone 919-718-9512 · Fax 919-718-9516
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