| Ronald Fuller, DC | |
|
23 E Main St, Manchester, GA 31816-2114 | |
| (678) 432-4755 | |
| (678) 432-4753 |
| Full Name | Ronald Fuller |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 33 Years |
| Location | 23 E Main St, Manchester, 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 |
|---|---|---|---|
| 1477528925 | NPI | - | NPPES |
| CHIRO005224 | Other | GA | STATE LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 005224 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fuller Life Chiropractic Center Pc | 7113914250 | 3 |
| Provider Name | Fuller Life Chiropractic Center Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1417129081 PECOS PAC ID: 7113914250 Enrollment ID: O20040429000584 |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald Fuller, DC Po Box 307, Manchester, GA 31816-0307 Ph: (678) 432-4755 | Ronald Fuller, DC 23 E Main St, Manchester, GA 31816-2114 Ph: (678) 432-4755 |
Fuller Life Chiropractic Center Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 23 East Main St, Manchester, GA 31816 Phone: 678-432-4755 | |
Fuller Life Chiropractic Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 23 East Main Street, Manchester, GA 31816 Phone: 678-432-4755 Fax: 678-432-4753 | |
Fuller Life Solutions Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 23 E Main St, Manchester, GA 31816 Phone: 706-846-4525 |