Organization
ICH ER SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN A. FULLER (PRESIDENT)
(770) 740-0895
Entity
Organization
Contact information
Practice address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-2373
(864) 512-2020
Mailing address
318 MAXWELL RD STE 500, ALPHARETTA, GA 30009-2064
(770) 740-0895
(770) 740-0896
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
08/10/2018
Last updated
08/28/2025
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