Individual
DR. WILLIE MICHAEL FUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3200 GILLIONVILLE RD STE 100, ALBANY, GA 31721-2815
(229) 405-2470
(229) 405-2473
Mailing address
2800 OLD DAWSON ROAD, SUITE 2, BOX 245, ALBANY, GA 31707-1599
(229) 405-2470
(229) 405-2473
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
57620
GA
208VP0014X
Interventional Pain Medicine Physician
Primary
57620
GA
Other
Enumeration date
10/10/2006
Last updated
10/26/2022
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