Timothy Fuller
Surgeon Vascular Surgeon
1641 Madison Ave
Tifton
, Georgia 31794-3757
Timothy Fuller
Surgeon Vascular Surgeon
1641 Madison Ave
Tifton
, Georgia 31794-3757
(229) 353-3422
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Timothy Fuller
- 907 18th St E Ste 400
- Tifton, GA
- Zip : 31794-3684
- Phone : (229) 353-3422
Second Address
- Timothy Fuller
- 1641 Madison Ave
- Tifton, GA
- Zip : 31794-3757
- Phone : (229) 353-2284
Reviews
FAQs
Where did Timothy Fuller attend graduate school?
Where did Timothy Fuller do his residency?
Where did Timothy Fuller do his fellowship?
Is Timothy Fuller board certified?
What type of doctor is Timothy Fuller
In what state does Timothy Fuller practice in?
Where is Timothy Fuller ’s practice located?
What is Timothy Fuller ’s gender?
Is Timothy Fuller a sole practitioner?
Is Timothy Fuller accepting new patients?
What languages does Timothy Fuller speak?
Does Timothy Fuller accept insurance?
Does Timothy Fuller offers telemedicine?
What is Timothy Fuller ’s professional license number?
What is Timothy Fuller ’s NPI number?
Does Timothy Fuller have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | 085351 | GA |
| Y | 208600000X | Surgeon | 085351 | GA |
| N | 208200000X | Surgeon | MED-PHYS-LIC-103773 | MT |
| N | 208600000X | Surgeon | MED-PHYS-LIC-103773 | MT |
| N | 2086S0129X | Vascular Surgeon | MED-PHYS-LIC-103773 | MT |
National Provider Identifier
| NPI | 1104153063 |
|---|---|
| Provider Name | Timothy Fuller |
| First Address | Tifton, GA 31794-3684 |
| Second Address | Tifton, GA 31794-3757 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/11/2009 |
| Last Update Date | 29/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.