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1063488054
SEAN DOUGLAS FULLER
IRMO, SC
NPI
1063488054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 20144)
Enumeration Date
2006-02-28
Last Update Date
2024-02-26
Business Address
Dr. SEAN DOUGLAS FULLER MD
7182 WOODROW ST STE 200
IRMO, SC 29063-2958
Phone number: 803-749-1111
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Mailing Address
Dr. SEAN DOUGLAS FULLER MD
7182 WOODROW ST STE 200
IRMO, SC 29063-2832
Phone number: 803-749-1111
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