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Dr. Charles R Lull, MD
Diagnostic Radiology Physician in Savannah, Tennessee
NPI 1790849180

Charles R Lull is a Diagnostic Radiology Physician based in Savannah, TN and is specialized in Diagnostic Radiology. Charles R Lull practices in Savannah, TN and has the professional credentials of MD. The NPI Number for Charles R Lull is 1790849180 and holds a License No. MD0000007740 (Tennessee).

The current practice location address for Charles R Lull is 935 Wayne Rd, Savannah, TN and can be reached out via phone at 504-889-0347 and via fax at 504-779-9741.

Location: 935 Wayne Rd, Savannah, TN, 38372-3690
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790849180
Provider Name
Charles R Lull
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
935 Wayne Rd, Savannah, TN, 38372-3690
Phone Number
504-889-0347
Fax Number
504-779-9741
Provider Enumeration Date
12/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
132751 01 TN FEDERAL BLACK LUNG
3029154 01 TN BLUE CROSS
3093872 05 TN
1640237 01 TN UNITED HEALTHCARE
300067251 01 TN RAILROAD MEDICARE
5001678 01 TN MEMPHIS MANAGED CARE TLC
000000118528 01 TN UNISON HEALTH PLAN
institution
Provider Business Practice Location Address Details
Address
935 Wayne Rd
City
Savannah
State
Tennessee
Zip
38372-1937
Phone Number
504-889-0347
Fax Number
504-779-9741
person
Provider Business Mailing Address Details
Address
935 Wayne Rd
City
Savannah
State
Tennessee
Zip
38372-1937
Phone Number
504-889-0347
Fax Number
504-779-9741
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
MD0000007740 (Tennessee)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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