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Contact Information

TIMOTHY M FULLAGAR, MD
701 MED TECH PKWY
SUITE 300
JOHNSON CITY, TN37604-2365
 Phone: 423-232-8301
 Fax: 423-232-8304
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for TIMOTHY M FULLAGAR · (Male)

NPI Number 1629088364
Status Active
Credentials MD
Entity Individual
Enumeration date 08/08/2006
Last updated 09/28/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 41401
Hospital affiliation(s)
  • FRANKLIN WOODS COMMUNITY HOSPITAL - (Acute Care)
    300 MED TECH PARKWAY
    JOHNSON CITY, TN 37604
  • INDIAN PATH MEDICAL CENTER - (Acute Care)
    2000 BROOKSIDE DR
    KINGSPORT, TN 37660
  • JOHNSON CITY MEDICAL CENTER - (Acute Care)
    400 N STATE OF FRANKLIN RD
    JOHNSON CITY, TN 37604
  • TAKOMA REGIONAL HOSPITAL - (Acute Care)
    401 TAKOMA AVE
    GREENEVILLE, TN 37743
  • WELLMONT HOLSTON VALLEY MEDICAL CENTER - (Acute Care)
    130 WEST RAVINE ROAD
    KINGSPORT, TN 37662
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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