Individual
MRS. MELISSA MARIE FUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5612 WHITESVILLE RD, COLUMBUS, GA 31904-9031
(706) 322-2223
(706) 324-5233
Mailing address
5612 WHITESVILLE RD STE A, COLUMBUS, GA 31904-9031
(706) 322-2223
(706) 324-5233
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004346
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
719264099A
—
GA
Enumeration date
11/06/2006
Last updated
08/24/2019
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