Search › Georgia › 1223G0001X
Crystal Fuller, DDS
NPI 1558988055 · on the registry since 2020 · sole proprietor
Practice
- Address
- 446 Shadeland Pl
Macon, GA 31206 - Phone
- (478) 718-1314
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
390200000X - Licence states on file
- TN, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-27
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