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1912080193
CHARLES A FULTON
KINGSPORT, TN
NPI
1912080193
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: TN 18954)
Enumeration Date
2006-10-23
Last Update Date
2007-07-08
Business Address
CHARLES A FULTON M.D.
2000 BROOKSIDE DR
KINGSPORT, TN 37660-4627
Phone number: 423-857-7870
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Mailing Address
CHARLES A FULTON M.D.
PO BOX 5789
JOHNSON CITY, TN 37602-5789
Phone number: 423-915-1126
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