Provider Demographics
NPI:1932539814
Name:FULL SERVICE MANAGEMENT
Entity Type:Organization
Organization Name:FULL SERVICE MANAGEMENT
Other - Org Name:CARRIE AND ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:KATRECIA
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-728-5903
Mailing Address - Street 1:2919 WHIPPOORWILL CT
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30906-4431
Mailing Address - Country:US
Mailing Address - Phone:770-728-5903
Mailing Address - Fax:706-364-4843
Practice Address - Street 1:2919 WHIPPOORWILL CT
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30906-4431
Practice Address - Country:US
Practice Address - Phone:770-728-5903
Practice Address - Fax:706-364-4843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-14
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management