Provider Demographics
NPI:1376845230
Name:FUSION MEDICAL SOLUTIONS
Entity Type:Organization
Organization Name:FUSION MEDICAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-971-8941
Mailing Address - Street 1:2612 LARCH LN
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-7192
Mailing Address - Country:US
Mailing Address - Phone:843-971-8941
Mailing Address - Fax:843-971-8942
Practice Address - Street 1:2612 LARCH LN
Practice Address - Street 2:SUITE 102
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466-7192
Practice Address - Country:US
Practice Address - Phone:843-971-8941
Practice Address - Fax:843-971-8942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-29
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies