Individual provider · Type 1 NPI
Timothy Fuller, MD
Vascular Surgery Physician · Tifton, GA
NPI number
1104153063
Active
Practice location
1641 Madison Ave
Tifton, GA 31794-3757
Mailing address
907 18th St E Ste 400
Tifton, GA 31794-3684
Other practice locations
- 1333 Surgical Services Way, Kalispell, MT 59901-4844 · (406) 751-5392
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | MED-PHYS-LIC-103773 (MT) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Surgery Physician | 208600000X | 085351 (GA) |
| Vascular Surgery Physician Primary | 2086S0129X | 085351 (GA) |
| Vascular Surgery Physician | 2086S0129X | MED-PHYS-LIC-103773 (MT) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
9 other providers at this address
- Tift Regional Health System IncVascular Surgery Physician Tifton, GA NPI 1184080079
- Amy R. Thomas, MED CFY-SLPSpeech-Language Pathologist Tifton, GA NPI 1265879969
- Bradley T. Holt, PAPhysician Assistant Tifton, GA NPI 1154356889
- Christina Diane Duron, M. ED. CCC-SLPSpeech-Language Pathologist Tifton, GA NPI 1649654963
- Christopher David Floyd, FNP-C, AG-ACNP-BCFamily Nurse Practitioner Tifton, GA NPI 1720508567
- Kayla PaulkPhysical Therapist Tifton, GA NPI 1518383496
- Megan ShippPhysical Therapy Assistant Tifton, GA NPI 1790101673
- Rhonda Jordan, SLPSpeech-Language Pathologist Tifton, GA NPI 1073939955
- Thomas Ganas, PTPhysical Therapist Tifton, GA NPI 1891216537
Other vascular surgery physician providers in Tifton
About NPI 1104153063
Timothy Fuller, MD's National Provider Identifier is 1104153063, issued on Nov 12, 2009. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Tifton, GA. The record was last updated on Jan 30, 2024.