Individual
WHITNEY FUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
179 SILVERADO RD, DOUGLAS, GA 31535-6215
(912) 850-7544
(912) 287-6689
Mailing address
179 SILVERADO RD, DOUGLAS, GA 31535-6215
(912) 850-7544
(912) 287-6689
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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