ANDREA J FULLER

DEMOREST, GA
NPI1528058385
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  098416)
Enumeration Date2005-10-24
Last Update Date2007-07-08
Business Address
-- ANDREA J FULLER RN,FNP
590 HISTORIC OLD HWY 441
DEMOREST, GA 30535
Phone number: 706-754-5511
Mailing Address
-- ANDREA J FULLER RN,FNP
590 HISTORIC HWY 441 N.
DEMOREST, GA 30535
Phone number: 706-754-5511