MEDICARE: RAQUEL FULLER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1720950777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAQUEL FULLER

Provider Business Mailing Address
First Line	:	1185 KING ST APT A
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29403-3267
Country	:	US
Telephone Number	:	301-704-0777
Fax Number	:

Provider Business Practice Location Address
First Line	:	186 SEVEN FARMS DR STE F
Second Line	:
City	:	DANIEL ISLAND
State	:	SC
Zip	:	29492-8522
Country	:	US
Telephone Number	:	803-814-3812
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2025
Last Update Date	:	09/19/2025

Similar Medicare Providers

1881522217 — ANGELA B TURNER I CF-SLP
Practice Location Address:

186 SEVEN FARMS DR STE F
DANIEL ISLAND, SC
29492-8522

Practice Phone: 803-814-3812
Practice Fax:

1407784887 — EMILY CAMPBELL MSLP, CF-SLP
Practice Location Address:

186 SEVEN FARMS DR STE F
DANIEL ISLAND, SC
29492-8522

Practice Phone: 803-814-3812
Practice Fax:

1194574426 — JERRIN NORTON
Practice Location Address:

186 SEVEN FARMS DR STE F
DANIEL ISLAND, SC
29492-8522

Practice Phone: 803-814-3812
Practice Fax:

1487610119 — EDWARD J GIOVE DO
Practice Location Address:

297 SEVEN FARMS DR STE 202
DANIEL ISLAND, SC
29492-8721

Practice Phone: 843-936-4470
Practice Fax: 833-464-3755

1568197234 — DANIEL ISLAND FAMILY MEDICINE LLC
Practice Location Address:

297 SEVEN FARMS DR STE 202
DANIEL ISLAND, SC
29492-8721

Practice Phone: 843-936-4470
Practice Fax: 833-464-3755

1992792725 — DR. JENNIFER JOY ESSE AU.D.
Practice Location Address:

895 ISLAND PARK DR STE 200
DANIEL ISLAND, SC
29492-7991

Practice Phone: 843-971-4199
Practice Fax:

Directions to “ RAQUEL FULLER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.