FULLER REHABILITATION AND CONSULTING SERVICES INC. NPI 1063445526

NPI Information

NPI: 1063445526
Provider Name: FULLER REHABILITATION AND CONSULTING SERVICES INC.

Doing Business As: FULLER REHABILITATION

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
529 ROLLINS INDUSTRIAL BLVD
RINGGOLD, GA
ZIP 30736
Phone: (706) 965-6131
Get Directions

FULLER REHABILITATION AND CONSULTING SERVICES INC. is a customized equipment durable medical equipment medical supplies in Ringgold, GA. FULLER REHABILITATION AND CONSULTING SERVICES INC. NPI is 1063445526. The provider is registered as an organization entity type.
The provider Is Doing Business As Fuller Rehabilitation.

The provider's business location address is:

529 ROLLINS INDUSTRIAL BLVD
RINGGOLD, GA
ZIP 30736-872
Phone: (706) 965-6131
Fax: (706) 965-3801

The provider's authorized official is Carter D. Fuller .
The authorized official title is President, Ceo and has the following contact phone number (706) 965-0352.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 5/20/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies			GEORGIA	No
2	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment		GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	4581852	MEDICAID	TENNESSEE
2	0952950001	MEDICARE NSC	GEORGIA
3	000660074A	MEDICAID	GEORGIA
4	1063445526	MEDICAID	ALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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