Individual provider · Type 1 NPI

James Evans Fuller, PA-C

Medical Physician Assistant · Decatur, GA

NPI number 1497776132 Active

Practice location

2107 N Decatur Rd, #166
Decatur, GA 30033-5305

Call (404) 321-6111 Map

Mailing address

2107 North Decatur Rd., #166
Decatur, GA 30033

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X001998 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1497776132

James Evans Fuller, PA-C's National Provider Identifier is 1497776132, issued on Jul 21, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Decatur, GA. The record was last updated on Jul 8, 2007.