GLENN E. FUSSELL NPI 1770766909

NPI Information

NPI: 1770766909
Provider Name: GLENN E. FUSSELL
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
2827 WARM SPRINGS RD
SUITE 3B
COLUMBUS, GA
ZIP 31904
Phone: (706) 324-4177
Get Directions

GLENN E. FUSSELL is a geriatric medicine family medicine in Columbus, GA. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. GLENN E. FUSSELL NPI is 1770766909. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2827 WARM SPRINGS RD
SUITE 3B
COLUMBUS, GA
ZIP 31904-246
Phone: (706) 324-4177
Fax: (706) 322-9637

The provider's authorized official is Glenn E. Fussell .
The authorized official title is Owner and has the following contact phone number (706) 324-4177.

The enumeration date for this NPI number is 12/11/2007 and was last updated on 3/31/2008.

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	207QG0300X	Family Medicine	Geriatric Medicine	026777	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	Other Provider Identifier Issuer
1	00330063C	MEDICAID	GEORGIA
2	DG5108	OTHER	GEORGIA	RAILROAD MEDICARE GRP NUM
3	08BDPHD	OTHER		MEDICARE PTAN
4	D29516	MEDICARE UPIN
5	GRP4568	OTHER		MEDICARE, PTAN

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: 4/28/2024

NPI Synchronization or Removal

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