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Contact Information

WILLIAM T FULLER, MD
971 LAKELAND DR STE 1052
JACKSON, MS39216-4609
 Phone: 601-981-9503
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WILLIAM T FULLER · (Male)

NPI Number 1205323177
Status Active
Credentials MD
Entity Individual
Enumeration date 04/17/2018
Last updated 12/11/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • MS License # 29088
  • MS License # T-3564
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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