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Charles Samuel Fulk
Specialist in Morristown, Tennessee
NPI 1801848668

Charles Samuel Fulk is a Specialist based in Morristown, TN. Charles Samuel Fulk practices in Morristown, TN. The NPI Number for Charles Samuel Fulk is 1801848668 and holds a License No. MD014379 (Tennessee).

The current practice location address for Charles Samuel Fulk is 400 E Economy Road, Morristown, TN and can be reached out via phone at 423-587-4600 and via fax at 423-587-1729. You can also correspond with Charles Samuel Fulk through the mailing address at 400 E ECONOMY RD, MORRISTOWN, TN - 37814-3388 (mailing address contact number: 423-587-4600).

Location: 400 E Economy Road, Morristown, TN, 37814-3388
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801848668
Provider Name
Charles Samuel Fulk
Credential
Provider Entity Type
Individual
Gender
Male
Address
400 E Economy Road, Morristown, TN, 37814-3388
Phone Number
423-587-4600
Fax Number
423-587-1729
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0024632 01 TN BLUE CROSS
3715864 05 TN
TN0102 01 TN JOHN DEERE HEALTH
070000633 01 GA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
400 E Economy Road
City
Morristown
State
Tennessee
Zip
37814-3388
Phone Number
423-587-4600
Fax Number
423-587-1729
person
Provider Business Mailing Address Details
Address
400 E Economy Road
City
Morristown
State
Tennessee
Zip
37814-3388
Phone Number
423-587-4600
Fax Number
423-587-1729
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD014379 (Tennessee)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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