Fuller, Christy Latasha

Fuller, Christy Latasha is an sole proprietor health care provider with primary practice located at 2288 Miriam Ln , Decatur GA 30032-5551. She recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as her primary health care specialty. Fuller, Christy Latasha can be contacted via phone (404) 343-8848.

Contact Information

Primary practice address
2288 Miriam Ln Decatur GA 30032-5551
Phone: (404) 343-8848
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X MT008977 Georgia

Profile Details

NPI number 1063852630
LBN Legal business name Fuller, Christy Latasha
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2013
Last updated Jun 27th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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