IndividualActive
Stanley Fuller, M.D.
NPI 1437119302 · Colon & Rectal Surgery Physician · Winston Salem, NC
Provider details
- NPI number
- 1437119302
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 34605 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103-4146
Phone: (336) 277-4075
Fax: (336) 277-4095
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 60447
Charlotte, NC 28260-0447
Registry dates
- Enumerated
- 2006-03-24
- Last updated
- 2023-07-03
- Certified
- 2023-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.