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

Mary R Fuller, PT

Individual provider Physical Therapist · NPI 1407183239

Mary R Fuller, PT is a Physical Therapist in Fort Gordon, Georgia. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2009
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

300 W Hospital Rd Sinterdisciplinary Pain Management Ctr
Fort Gordon, GA 30905-5741
Phone: (706) 787-1473
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 558 (MS)

Record details

NPI number1407183239
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedNovember 16, 2009
Last updated in NPPESJuly 24, 2015
Mailing address300 W Hospital Rd, Sinterdisciplinary Pain Management Center, Fort Gordon, GA 30905-5741

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