Individual
MR. ROSS ASHMORE FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1230 BAXTER ST, ATHENS, GA 30606-3712
(912) 429-6196
Mailing address
55 WHITE STREET EXT, WATKINSVILLE, GA 30677-6010
(912) 429-6196
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN210210
GA
Other
Enumeration date
02/03/2014
Last updated
10/22/2025
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