Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Joseph Fuller Sr., MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770807786

Andrew Joseph Fuller Sr., MD is a Student in an Organized Health Care Education/Training Program in Slidell, Louisiana. Licensed in Louisiana. Registered with an NPI since 2010.

Licensed in
LA
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 Medical Center Dr
Slidell, LA 70461-5520
Phone: (985) 646-5189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 204996 (LA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770807786
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 19, 2010
Last updated in NPPESSeptember 16, 2015

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