TIMOTHY LOUIS FULLER

GREENEVILLE, TN
NPI1497822845
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: TN  1343)
Enumeration Date2006-11-29
Last Update Date2014-02-03
Business Address
Mr. TIMOTHY LOUIS FULLER DO
428 EAST VANN ROAD
GREENEVILLE, TN 37743-7202
Phone number: 423-278-1950
Mailing Address
Mr. TIMOTHY LOUIS FULLER DO
PO BOX 15004
KNOXVILLE, TN 37901
Phone number: 865-522-9730