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Charles Fuller
NPI 1366321754 · on the registry since 2025
Practice
- Address
- 3551 Rodger Brooke Dr
Fort Sam Houston, TX 78234 - Phone
- (770) 545-1469
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-29
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 Texas