Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WILLIE MICHAEL FUSSELL, D.O.
Active Sole ProprietorDR. WILLIE MICHAEL FUSSELL, D.O. is a Interventional Vascular Surgery healthcare provider located in ALBANY, Georgia. NPI 1740377787 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · ALBANY, GA
Registration Details
- NPI Number
- 1740377787
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 10, 2006 (19.854568937036 yrs)
- Last Updated
- Oct 26, 2022
- Licenses
-
57620 (GA)57620 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3200 GILLIONVILLE RD STE 100ALBANY, GA, 317212815Browse GA providers · Browse ZIP 31721
- Phone
- 2294052470
- Fax
- 2294052473
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Interventional Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.