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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. STANLEY BRIAN FULLER, M.D.

Active

DR. STANLEY BRIAN FULLER, M.D. is a Colon & Rectal Surgery healthcare provider located in WINSTON SALEM, North Carolina. NPI 1437119302 is currently active in the NPPES registry. Verify at CMS.

Colon & Rectal Surgery · WINSTON SALEM, NC

Registration Details

NPI Number
1437119302
Provider Type
Individual
Gender
Male
NPI Issued
Mar 24, 2006 (20.401558540264 yrs)
Last Updated
Jul 3, 2023
Licenses
34605 (NC)
34605 (NC)

Practice Information

Address
2825 LYNDHURST AVE
STE 101
WINSTON SALEM, NC, 271034146
Browse NC providers · Browse ZIP 27103
Phone
3362774075
Fax
3362774095
Primary Specialty
Colon & Rectal Surgery
208C00000X
Additional Specialty
Colon & Rectal Surgery
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.