SCOTT LEE FULLER

GREENSBORO, NC
NPI1366934861
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X 
Enumeration Date2018-05-31
Last Update Date2018-06-20
Business Address
SCOTT LEE FULLER
241 SUMMIT AVE STE 100
GREENSBORO, NC 27401-3017
Phone number: 336-965-7369
Mailing Address
SCOTT LEE FULLER
305 KING ST APT 3A
GREENSBORO, NC 27406-1696
Phone number: