NPI 1063860427

Carl Fuller

Practitioner Contractor Lumberton, NC

Practice location

Address: 88 Riverbrook Rd, Lumberton, NC 28358-8666
Phone: (910) 536-9721

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence A5070 (NC)

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Registry record

NPI: 1063860427
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 May 2016
Record last updated: 26 May 2016

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.