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1497776132
JAMES EVANS FULLER
DECATUR, GA
NPI
1497776132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 001998)
Enumeration Date
2006-07-21
Last Update Date
2007-07-08
Business Address
Mr. JAMES EVANS FULLER PA-C
2107 N DECATUR RD #166
DECATUR, GA 30033-5305
Phone number: 404-321-6111
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Mailing Address
Mr. JAMES EVANS FULLER PA-C
2107 NORTH DECATUR RD. #166
DECATUR, GA 30033
Phone number: 404-321-6111
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