Fullerton Medical Clinic, Pllc

NPI #1164567830 in Nashville, Tennessee

Provider Information

NPI Number: 1164567830
Entity Type: Organization
Organization Name: Fullerton Medical Clinic, Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Feb 21, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2021 CHURCH ST
Address 2: SUITE 504
City: Nashville
State: Tennessee
ZIP Code: 37203-2021
Phone: (615) 284-7900

Authorized Official

Name: DR. RANDY C. FULLERTON, M.D.
Title: OWNER
Phone: (615) 284-7900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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