Individual provider · Type 1 NPI
Peggy A. Fuller, MD
Specialist · Charlotte, NC
NPI number
1598871345
Active
Practice location
353 Clement Ave
Charlotte, NC 28204-2431
Fax (704) 370-2702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 9700555 (NC) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1598871345
Peggy A. Fuller, MD's National Provider Identifier is 1598871345, issued on Aug 22, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 8, 2007.