Individual
MELVIN LEE CHRISTOPHER FUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1770 WATSON BLVD, WARNER ROBINS, GA 31093-3632
(478) 333-6961
(478) 333-6964
Mailing address
1770 WATSON BLVD, WARNER ROBINS, GA 31093-3632
(478) 333-6961
(478) 333-6964
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
052565
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162941944F
—
GA
05
—
162941944G
—
GA
05
—
162941944H
—
GA
Enumeration date
06/03/2006
Last updated
01/06/2010
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