Organization
FULLER REHABILITATION AND CONSULTING SERVICES INC.
Active
Parent organization
FULLER REHABILITATION AND CONSULTING SERVICES INC.
Other names
Fuller Rehabilitation
Organization subpart
Yes
Provider details
NPI number
Legal business name
FULLER REHABILITATION AND CONSULTING SERVICES INC.
Authorized official
MR. CARTER D. FULLER (PRESIDENT, CEO)
(706) 965-0352
Entity
Organization
Contact information
Practice address
529 ROLLINS INDUSTRIAL BLVD, RINGGOLD, GA 30736-2872
(706) 965-6131
(706) 965-3801
Mailing address
PO BOX 615, RINGGOLD, GA 30736-0615
(706) 965-6131
(706) 413-1352
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
GA
332BC3200X
Customized Equipment (DME)
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000660074A
—
GA
05
—
1063445526
—
AL
05
—
4581852
—
TN
Enumeration date
07/08/2006
Last updated
05/20/2010
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