Charles Samuel Fulk

NPI #1801848668 in Morristown, Tennessee

Provider Information

NPI Number: 1801848668
Entity Type: Individual
Name: Charles Samuel Fulk
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: May 17, 2006
Last Updated: Jan 2, 2015

Practice Location

Address: 400 E ECONOMY ROAD
Address 2: SUITE 8
City: Morristown
State: Tennessee
ZIP Code: 37814-3388
Phone: (423) 587-4600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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