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1104899574
FULLER MCIVER PRICKETT
COLUMBIA, SC
NPI
1104899574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: SC 19571)
Enumeration Date
2006-02-08
Last Update Date
2021-03-09
Business Address
Dr. FULLER MCIVER PRICKETT
1330 TAYLOR ST
COLUMBIA, SC 29201-2915
Phone number: 803-296-5137
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Mailing Address
Dr. FULLER MCIVER PRICKETT
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 803-434-6412
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