Fussell, Melvin Lee Christopher
Fussell, Melvin Lee Christopher is an sole proprietor health care provider with primary practice located at 1770 Watson Blvd , Warner Robins GA 31093-3632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Fussell, Melvin Lee Christopher can be contacted via phone (478) 333-6961.Contact Information
Primary practice address
1770 Watson Blvd
Warner Robins GA 31093-3632
Phone: (478) 333-6961
Fax: (478) 333-6964
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 052565 | Georgia |
Profile Details
| NPI number | 1699713594 |
|---|---|
| LBN Legal business name | Fussell, Melvin Lee Christopher |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Jan 6th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699713594 | NPPES |
| Georgia | MEDICAID | 162941944H | |
| Georgia | MEDICAID | 162941944G | |
| Georgia | MEDICAID | 162941944F |
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