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Search › Georgia › 363L00000X

Averie Fuller

NPI 1598649436 · on the registry since 2025

Practice

Address
175 White St Nw
Marietta, GA 30060
Phone
(470) 793-0200
Organisation at this address
Marietta Smiles Llc
Scottish Rite Children'S Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
363L00000X
363L00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-08-04

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