Fuller, Mary R
Fuller, Mary R is an sole proprietor health care provider with primary practice located at 300 W Hospital Rd Sinterdisciplinary Pain Management Center, Fort Gordon GA 30905-5741. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Fuller, Mary R can be contacted via phone (706) 787-1473.Contact Information
Primary practice address
300 W Hospital Rd Sinterdisciplinary Pain Management Center
Fort Gordon GA 30905-5741
Phone: (706) 787-1473
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 558 | Mississippi |
Profile Details
NPI number | 1407183239 |
---|---|
LBN Legal business name | Fuller, Mary R |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 16th, 2009 |
Last updated | Jul 24th, 2015 - about 9 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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