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Peggy A Fuller, MD
Specialist in Charlotte, North Carolina
NPI 1598871345

Peggy A Fuller is a Specialist based in Charlotte, NC. Peggy A Fuller practices in Charlotte, NC and has the professional credentials of MD. The NPI Number for Peggy A Fuller is 1598871345 and holds a License No. 9700555 (North Carolina).

The current practice location address for Peggy A Fuller is 353 Clement Ave, Charlotte, NC and can be reached out via phone at 704-370-2700 and via fax at 704-370-2702.

Location: 353 Clement Ave, Charlotte, NC, 28204-2431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598871345
Provider Name
Peggy A Fuller
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
353 Clement Ave, Charlotte, NC, 28204-2431
Phone Number
704-370-2700
Fax Number
704-370-2702
Provider Enumeration Date
08/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9700555 01 NC STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
353 Clement Ave
City
Charlotte
State
North Carolina
Zip
28204-2431
Phone Number
704-370-2700
Fax Number
704-370-2702
person
Provider Business Mailing Address Details
Address
353 Clement Ave
City
Charlotte
State
North Carolina
Zip
28204-2431
Phone Number
704-370-2700
Fax Number
704-370-2702
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
9700555 (North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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