Search › Georgia › 106S00000X
Jordan Fuller
NPI 1285335059 · on the registry since 2023 · sole proprietor
Practice
- Address
- 304 Palm Ave
Statesboro, GA 30458 - Phone
- (470) 399-6135
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia