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1629088364
TIMOTHY MICHAEL FULLAGAR
JOHNSON CITY, TN
NPI
1629088364
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207T00000X Neurological Surgery
(Licence: TN 41401)
Enumeration Date
2006-08-08
Last Update Date
2011-09-28
Business Address
Dr. TIMOTHY MICHAEL FULLAGAR M.D.
701 MED TECH PKWY SUITE 300
JOHNSON CITY, TN 37604-2365
Phone number: 423-232-8301
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Mailing Address
Dr. TIMOTHY MICHAEL FULLAGAR M.D.
701 MED TECH PKWY SUITE 300
JOHNSON CITY, TN 37604
Phone number: 423-232-8301
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