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

JONATHAN FULLER, PA

Active Sole Proprietor

JONATHAN FULLER, PA is a Medical Physician Assistant healthcare provider located in THOMASVILLE, Georgia. NPI 1801229745 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · THOMASVILLE, GA

Registration Details

NPI Number
1801229745
Provider Type
Individual
Gender
Male
NPI Issued
Aug 14, 2013 (12.994827734775 yrs)
Last Updated
Jun 13, 2019
Sole Proprietor
Yes

Practice Information

Address
915 GORDON AVE
RM 206208
THOMASVILLE, GA, 317926614
Browse GA providers · Browse ZIP 31792
Phone
2292282799
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in THOMASVILLE, GA

Name Credential NPI
VALERIE L BUSH PAC 1730168030
MRS. DEREN H HOOKS P.A.-C. 1427038587
MR. WILLIAM B HOOKS PA-C 1043281157
CHARLES BAKER PHYSICIAN ASSISTANCE 1477597946
RONALD LINDQUIST P.A. 1073698031
MR. ROBERT LEE BRADFORD P.A.-C 1669509196
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.