MR. Timothy Louis Fuller, DO

NPI #1497822845 in Greeneville, Tennessee

Provider Information

NPI Number: 1497822845
Entity Type: Individual
Name: MR. Timothy Louis Fuller, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: DO
Enumeration Date: Nov 29, 2006
Last Updated: Feb 3, 2014

Practice Location

Address: 428 EAST VANN ROAD
City: Greeneville
State: Tennessee
ZIP Code: 37743-7202
Phone: (423) 278-1950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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