Cecil Fuller Ii, | |
315 Hospital Dr, Madison, TN 37115-5030 | |
(615) 868-6503 | |
Not Available |
Full Name | Cecil Fuller Ii |
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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 | Vaughan Regional Anesthesia Llc |
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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 |
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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 | |
Shai Charlton, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-732-7662 |