Individual
JOEL FUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6721
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6721
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN215632
GA
163WE0003X
Emergency Registered Nurse
Primary
RN215632
GA
Other
Enumeration date
05/16/2014
Last updated
02/08/2024
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