Individual provider · Type 1 NPI

Christy Latasha Fuller, LMT

Exclusive Provider Organization · Decatur, GA

NPI number 1063852630 Active

Practice location

2288 Miriam Ln
Decatur, GA 30032-5551

Mailing address

2759 Delk Rd SE
Marietta, GA 30067-8847

Specialties and licenses

TaxonomyCodeLicense
Exclusive Provider Organization Primary 302F00000XMT008977 (GA)

Exclusive Provider Organization: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay t…

About NPI 1063852630

Christy Latasha Fuller, LMT's National Provider Identifier is 1063852630, issued on Jun 27, 2013. The primary taxonomy on file is Exclusive Provider Organization (302F00000X), and the practice location is in Decatur, GA. The record was last updated on Jun 27, 2013.