Organization
INTERVENTIONAL PAIN INSTITUTE, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIE MICHAEL FUSSELL DO (OWNER)
(724) 228-1414
Entity
Organization
Contact information
Practice address
378 W CHESTNUT ST, SUITE 105, WASHINGTON, PA 15301-4659
(724) 222-5471
(724) 222-0305
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
(800) 394-4445
(706) 955-0735
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
PA
208VP0014X
Interventional Pain Medicine Physician
Primary
—
PA
Other
Enumeration date
11/07/2006
Last updated
09/11/2025
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