1922022110 NPI number — DR. EDWIN R FULLER III MD

Table of content: DR. EDWIN R FULLER III MD (NPI 1922022110)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922022110 NPI number — DR. EDWIN R FULLER III MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FULLER
Provider First Name:
EDWIN
Provider Middle Name:
R
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
III
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922022110
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/08/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7024 BURNETT-WOMACK BUILDING
Provider Second Line Business Mailing Address:
CB#7155
Provider Business Mailing Address City Name:
CHAPEL HILL
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27599-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-966-2561
Provider Business Mailing Address Fax Number:
919-966-4251

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7024 BURNETT-WOMACK BUILDING
Provider Second Line Business Practice Location Address:
CB#7155
Provider Business Practice Location Address City Name:
CHAPEL HILL
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27599-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-966-2561
Provider Business Practice Location Address Fax Number:
919-966-4251
Provider Enumeration Date:
07/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RN0300X , with the licence number:  0501405 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 5901671 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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