NPI 1437119302

Stanley Brian Fuller, MD

Practitioner Colon & Rectal Surgery Physician Winston Salem, NC

Practice location

Address: 2825 Lyndhurst Ave STE 101, Winston Salem, NC 27103-4146
Phone: (336) 277-4075
Fax: (336) 277-4095
Mailing address: PO Box 60447, Charlotte, NC 28260-0447

Registered specialties (2)

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 34605 (NC)

Other Colon & Rectal Surgery providers in North Carolina →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 34605 (NC)

Other Surgery providers in North Carolina →

Registry record

NPI: 1437119302
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Mar 2006
Record last updated: 3 Jul 2023

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.