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LARRY FULLER, STUDENT

STUDENT

Diagnostic Radiology Physician

NPI: 1912360421IndividualAccepts Medicare

Specialties, Licenses & Credentials

Diagnostic Radiology PhysicianPrimary

Radiology — Diagnostic Radiology

Code: 2085R0202X

0102209072(VA)1322733(GA)OS17722(FL)
Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

CMS Specialties

Education

OTHER

Class of 2016

Contact & Hours

Via practice · 4 locations total

Address
743 Spring St NE
Gainesville, GA 30501

Quick Facts

NPI
1912360421
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
4
Locations
4
Years in Practice
10

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