Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY FULLER, MD
ActiveTIMOTHY FULLER, MD is a Vascular Surgery healthcare provider located in TIFTON, Georgia. NPI 1104153063 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · TIFTON, GA
Registration Details
- NPI Number
- 1104153063
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 12, 2009 (16.567338159277 yrs)
- Last Updated
- Jan 30, 2024
- Licenses
-
MED-PHYS-LIC-103773 (MT)085351 (GA)085351 (GA)MED-PHYS-LIC-103773 (MT)
Practice Information
- Address
-
1641 MADISON AVETIFTON, GA, 317943757Browse GA providers · Browse ZIP 31794
- Phone
- 2293532284
- Primary Specialty
-
Vascular Surgery
2086S0129X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- General Surgery
- Additional Specialty
- Vascular Surgery
- Additional Specialty
- Vascular Surgery
Other Vascular Surgery Providers in TIFTON, GA
| Name | Credential | NPI |
|---|---|---|
| WILLIAM H DAVIS | MD | 1497722193 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.