Glenn E. Fussell

LBN: Glenn E. Fussell
Glenn E. Fussell is an health care organization with primary practice located at 2827 Warm Springs Rd Suite 3B, Columbus GA 31904-5246. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Glenn E. Fussell can be contacted via phone (706) 324-4177, or through Fussell, Glenn E. via phone (706) 324-4177.

Contact Information

Primary practice address
2827 Warm Springs Rd Suite 3B Columbus GA 31904-5246
Phone: (706) 324-4177
Fax: (706) 322-9637
Website:
Map and Directions
Authorized official contact:
Name: Fussell, Glenn E. Doctor of Medicine (MD)
Phone: (706) 324-4177

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 026777 Georgia

Profile Details

NPI number 1770766909
LBN Legal business name Glenn E. Fussell
DBA Doing business as
Authorized official Fussell, Glenn E. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2007
Last updated Mar 31st, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770766909 NPPES
Other 08BDPHD MEDICARE PTAN
Other GRP4568 MEDICARE PTAN
Other DG5108 MEDICARE PTAN
MEDICAID 00330063C MEDICARE PTAN

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