Individual provider · Type 1 NPI
Charles Berry Fullenwider, MD
Neurological Surgery Physician · Muskogee, OK
Practice location
4318 W Okmulgee St
Muskogee, OK 74401-4648
Fax (918) 683-1239
Mailing address
6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurological Surgery Physician Primary | 207T00000X | 12300 (OK) |
Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…
4 other providers at this address
About NPI 1447245063
Charles Berry Fullenwider, MD's National Provider Identifier is 1447245063, issued on Sep 20, 2005. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Muskogee, OK. The record was last updated on May 1, 2023.