Ross Fuller, AA-C | |
550 Peachtree St Ne, Atlanta, GA 30308-2247 | |
(404) 686-4411 | |
Not Available |
Full Name | Ross Fuller |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 17 Years |
Location | 550 Peachtree St Ne, Atlanta, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700076205 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Emory University Hospital Midtown | Atlanta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Emory Clinic, Inc | 8820901408 | 2729 |
Entity Name | The Emory Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
Mailing Address | Practice Location Address |
---|---|
Ross Fuller, AA-C 2236 Desmond Dr, Decatur, GA 30033-4742 Ph: (404) 702-8434 | Ross Fuller, AA-C 550 Peachtree St Ne, Atlanta, GA 30308-2247 Ph: (404) 686-4411 |
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