Organization · Type 2 NPI

Fuller Rehabilitation and Consulting Services Inc.

Customized Equipment (DME) · Antioch, TN

NPI number 1316046758 Active

Practice location

1135 Bell Rd, Suite 316
Antioch, TN 37013-3777

Call (615) 717-0202 Map

Fax (615) 717-0303

Mailing address

PO Box 615
Ringgold, GA 30736-0615

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Customized Equipment (DME) Primary	332BC3200X	None listed

Customized Equipment (DME): Definition to come...

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NPI record

NPI: 1316046758
Entity type: Organization (Type 2)
Issued: Sep 22, 2006
Last updated: May 20, 2010
Status: Active
Subpart: Yes of Fuller Rehabilitation and Consulting Services Inc.

Other names

<unavail>
Fuller Rehabilitation · doing business as

Authorized official

Mr. Carter D. Fuller
President, CEO
(706) 965-0352

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About NPI 1316046758

Fuller Rehabilitation and Consulting Services Inc.'s National Provider Identifier is 1316046758, issued on Sep 22, 2006. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Antioch, TN. The record was last updated on May 20, 2010.