Sally S Fuller, MD is a
Emergency Medicine physician based in Clemson, South Carolina. Sally S Fuller is licensed to practice in North Carolina (license number 27518) and her current practice location is 735 Mcmillan Rd, Clemson, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(864) 656-2233.
NPI number for Sally S Fuller is 1639132368 and her current mailing address is 735 Mcmillan Rd, Clemson, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639132368.
Physician's Profile
| Full Name | Sally S Fuller |
|---|
| Gender | Female |
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| Speciality | Emergency Medicine |
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| Location | 735 Mcmillan Rd, Clemson, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1639132368
- Provider Enumeration Date: 04/12/2006
- Last Update Date: 05/03/2016
Medical Identifiers
Medical identifiers for Sally S Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639132368 | NPI | - | NPPES |
| 34116 | Other | NC | BCBS |
| 8934116 | Medicaid | NC | |
| Q27519 | Medicaid | SC | |
| 930043479 | Other | NC | RAILROAD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 27518 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sally S Fuller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sally S Fuller, MD
735 Mcmillan Rd,
Clemson, SC 29634-4054
Ph: (864) 656-2233 | Sally S Fuller, MD
735 Mcmillan Rd,
Clemson, SC 29634-4054
Ph: (864) 656-2233 |
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