NPI 1063488054

Sean Douglas Fuller, MD

Practitioner Family Medicine Physician Irmo, SC

Practice location

Address: 7182 Woodrow St STE 200, Irmo, SC 29063-2958
Phone: (803) 749-1111
Fax: (803) 749-0050
Mailing address: 7182 Woodrow St STE 200, Irmo, SC 29063-2832

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 20144 (SC)

Other Family Medicine providers in South Carolina →

Registry record

NPI: 1063488054
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Feb 2006
Record last updated: 26 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.