Isaac Fuller, is a
Student In An Organized Health Care Education/training Program based in Columbia, South Carolina. Isaac Fuller is licensed to practice in * (Not Available) (license number ) and his current practice location is
14 Richland Medical Park Dr Ste 320, Columbia, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(803) 434-6771.
NPI number for Isaac Fuller is 1427806116 and his current mailing address is 300 E Mcbee Ave Fl 4, Greenville, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427806116.
Provider's Profile
| Full Name | Isaac Fuller |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 14 Richland Medical Park Dr Ste 320, Columbia, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1427806116
- Provider Enumeration Date: 05/08/2024
- Last Update Date: 02/11/2026
Medical Identifiers
Medical identifiers for Isaac Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427806116 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 6177 (South Carolina) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Isaac 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 |
|---|
Isaac Fuller,
300 E Mcbee Ave Fl 4,
Greenville, SC 29601-2842
Ph: (803) 434-6771 | Isaac Fuller,
14 Richland Medical Park Dr Ste 320,
Columbia, SC 29203-6896
Ph: (803) 434-6771 |
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