DR. Charles Berry Fullenwider, M.D.

NPI #1447245063 in Muskogee, Oklahoma

Provider Information

NPI Number: 1447245063
Entity Type: Individual
Name: DR. Charles Berry Fullenwider, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Neurological Surgery
Credential: M.D.
Enumeration Date: Sep 20, 2005
Last Updated: May 1, 2023

Practice Location

Address: 4318 W OKMULGEE ST
City: Muskogee
State: Oklahoma
ZIP Code: 74401-4648
Phone: (918) 683-1238

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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