Timothy Fuller, MD
Vascular Surgery Physician · Tifton, GA
Practice location
1641 Madison AveTifton, GA 31794-3757
- Phone
- (229) 353-2284
NPI record
- NPI
- 1104153063
- Entity type
- Individual (Type 1)
- Enumeration date
- November 12, 2009
- Last updated
- January 30, 2024
- Certified
- January 30, 2024
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X |
085351 | GA |
| Surgery Physician | 208600000X |
MED-PHYS-LIC-103773 | MT |
| Student in an Organized Health Care Education/Training Program | 390200000X |
— | — |
| Surgery Physician | 208600000X |
085351 | GA |
| Vascular Surgery Physician | 2086S0129X |
MED-PHYS-LIC-103773 | MT |
Mailing address
907 18TH St E Ste 400Tifton, GA 31794-3684
- Phone
- (229) 353-3422
Other practice locations (1)
- 1333 Surgical Services Way, Kalispell, MT 59901-4844 · (406) 751-5392
About Dr. Fuller
Timothy Fuller, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Vascular Surgery Physician (code 2086S0129X). The practice location is 1641 Madison Ave, Tifton, GA 31794-3757. The NPI number 1104153063 was assigned on November 12, 2009 and the record was last updated on January 30, 2024.
Dr. Fuller lists 4 licenses in the registry: #085351 (GA) for Vascular Surgery Physician; #MED-PHYS-LIC-103773 (MT) for Surgery Physician; #085351 (GA) for Surgery Physician; #MED-PHYS-LIC-103773 (MT) for Vascular Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Timothy Fuller, MD?
The NPI number is 1104153063.
What is the phone number of Dr. Fuller?
The phone number listed for the practice location is (229) 353-2284.
Where is Dr. Fuller located?
1641 Madison Ave, Tifton, GA 31794-3757.
What is the taxonomy code for Dr. Fuller?
The primary taxonomy code is 2086S0129X – Vascular Surgery Physician; 4 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Vascular Surgery Physician providers in Tifton
- South Georgia Vascular Clinic901 18TH St E
- Tift Regional Health System Inc1641 Madison Ave
- William H. Davis, MD1007 Greenfield Dr
- South Georgia Surgical Clinic PC1007 Greenfield Dr