| William Allen Fuller Jr, MD | |
|
2212 Wilborn Ave, South Boston, VA 24592-1630 | |
| (434) 572-8921 | |
| (434) 572-2063 |
| Full Name | William Allen Fuller Jr |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 2212 Wilborn Ave, South Boston, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225006489 | NPI | - | NPPES |
| 003685 | Other | VA | BCBS |
| 16829 | Other | VA | OPTIMA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 0101023878 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| William Allen Fuller Jr, MD 2212 Wilborn Ave, South Boston, VA 24592-1630 Ph: (434) 572-8921 | William Allen Fuller Jr, MD 2212 Wilborn Ave, South Boston, VA 24592-1630 Ph: (434) 572-8921 |
Yaning Zhang, MD Surgery Medicare: Medicare Enrolled Practice Location: 2232 Wilborn Ave Ste C, South Boston, VA 24592 Phone: 434-517-3100 | |
Gurnam S Bajwa, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2206a Wilborn Ave, South Boston, VA 24592 Phone: 434-572-2744 Fax: 434-572-2785 | |
Nicole Faye Yeshtokin, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 22232 Wilborn Ave Ste C, South Boston, VA 24592 Phone: 434-517-3910 Fax: 434-517-3912 | |
Lovetta Pugh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2232 Wilborn Ave, South Boston, VA 24592 Phone: 434-572-8921 Fax: 434-572-2063 | |
Edward Sanford Purvis Ii, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2232 Wilborn Avenue, Physicians Pavilion, South Boston, VA 24592 Phone: 434-517-0233 |