Search › Georgia › 101YP2500X
Larry Fuller, M.A
NPI 1700209327 · on the registry since 2014
Practice
- Address
- 307 Old Stone Rd
Villa Rica, GA 30180 - Phone
- (770) 459-8799
- Organisation at this address
- Potters Hands Institute Llc
Mobolaji Shalom Oyebanjo, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-02-03
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