SARA G FULLER

COLUMBIA, SC
NPI1871546226
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: SC  APN1042)
Enumeration Date2006-05-18
Last Update Date2008-10-10
Business Address
-- SARA G FULLER NP
2638 TWO NOTCH RD SUITE 110
COLUMBIA, SC 29204-1454
Phone number: 803-256-2500
Mailing Address
-- SARA G FULLER NP
15 MEDICAL PARK RD SUITE 300
COLUMBIA, SC 29203-8003
Phone number: 803-255-3422
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