| Cecil Fuller Ii, | |
|
315 Hospital Dr, Madison, TN 37115-5030 | |
| (615) 868-6503 | |
| Not Available |
| Full Name | Cecil Fuller Ii |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 315 Hospital Dr, Madison, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093478414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 1-162112 (Alabama) | Primary |
| Entity Name | Sylacauga Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700843869 PECOS PAC ID: 9234021619 Enrollment ID: O20040329001390 |
| Entity Name | Vaughan Regional Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639792153 PECOS PAC ID: 2062830128 Enrollment ID: O20200922002054 |
| Mailing Address | Practice Location Address |
|---|---|
| Cecil Fuller Ii, 2024 Crencor Dr, Goodlettsville, TN 37072-4306 Ph: () - | Cecil Fuller Ii, 315 Hospital Dr, Madison, TN 37115-5030 Ph: (615) 868-6503 |
Patrick Grant Moss, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-732-7662 | |
Carson Stafford, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-732-7662 | |
Hayden Wood, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-732-7662 | |
Krupa Master, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-732-7662 | |
Angelica Ian Cabrera Bautista, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-732-7662 | |
Leah R Olley, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-732-7662 | |
Kristopher Nelson, RN BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-732-7662 |