| NPI | 1265667034 |
|---|---|
| Doing Business As | FULLER REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | CARTER D. FULLER President, CEO 706-965-0352 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL 1313524) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2010-05-20 |