Individual
MICHAEL F FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
380 HOSPITAL DR, SUITE 410, MACON, GA 31217
(478) 746-5644
(478) 745-4849
Mailing address
PO BOX 2564, MACON, GA 31203
(478) 746-5644
(478) 745-4849
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
057971
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
355662
WELLCARE
GA
05
—
823068501A
—
GA
05
—
823068501C
—
GA
05
—
823068501D
—
GA
05
—
823068501E
—
GA
01
—
P00331784
RAILROAD MEDICARE
GA
Enumeration date
08/04/2006
Last updated
06/04/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us